Fallopian tube blockage at the uterine cornu (interstitial oviduct region-where the tube comes off of the uterus) is a recognized cause of infertility. In the past, fallopian tube obstruction has been treated with major surgery with cornual reanastomosis as “state of the art” therapy. Tubal ligation reversal is usually treated as an outpatient surgery. Most insurance does not cover the cost which is $5600.
Instead, we use a minimally invasive technique using a specially adapted catheter system to treat fallopian tube focal obstruction of the interstitial oviduct. Simultaneous laparoscopy and hysteroscopy are performed. These are very delicate procedures that should be performed by a reproductive surgeon, infertility specialist. Great care must be taken to avoid scarring or otherwise damaging the fallopian tubes.
The laparoscopic surgeon, fertility specialist straightens the isthmic region of the oviduct with a triaxil catheter system consisting of an inner, platinum tipped wire, a 5 French catheter and a 3 French catheter. The system is serially advanced into the interstitial fallopian tube until the fallopian tube is open.
This procedure requires training in advanced operative hysteroscopy which both Dr. Williams and Dr. Bateman have received. This procedure to open the fallopian tubes replaces a major abdominal surgery and its effectiveness is comparable. You can come in and go home the same day from this procedure.
