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Reproductive outcomes and predictors for success following hysteroscopic tubal cannulation for proximal tubal disease
Samuel Dobson1, Elizabeth Halley2, Jonathan D Skull1, Mostafa Metwally1, Bolarinde Ola1
1 Department of Obstetrics and Gynaecology, Assisted Conception Unit, Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
2 Department of Obstetrics and Gynaecology, Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
Correspondence Address:
Bolarinde Ola,
Department of Obstetrics and Gynaecology, Assisted Conception Unit, Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield
UK
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/ajiac.ajiac_7_20
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Context: Tubal factor sub-fertility accounts for approximately 12% of IVF treatment cycles performed in the UK. Current data suggests that following hysteroscopic tubal cannulation, patients can expect a comparable LBR of 22% and spontaneous CPR of 25-27%, versus a LBR of 21% and CPR of 36.3% per cycle of IV. Our study is a l retrospective study, looking at reproductive outcomes after hysteroscopic cannulation of proximal tubal disease. Aims: investigate the effectiveness of hysteroscopic tubal cannulation (HTC) for the treatment of patients with proximal tubal obstruction (PTO). Settings and Design: Retrospective study. Methods: All patients underwent HTC for either unilateral (n= 53) or bilateral PTO (n= 33) between 2009 and 2018. Fertility outcomes were collected over following 24 months. Results: Overall CPR and live birth rate (LBR) following successful HTC was 26.9% and 22.2% respectively. Patients aged 20-35 years achieved a significantly higher CPR (38.5% vs 8.33%; Odds ratio (OR) 6.875; 95% confidence interval (CI) 1.41-33.54) and LBR (30.8% vs 8.3% OR 5.5; 95% CI 1.118-27.1) compared to 36-45 year-olds.
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