Fallopian tube obstruction 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.
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. The laparoscopic surgeon 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 patency is established.
This procedure requires training in advanced operative hysteroscopy which both Dr. Williams, Dr. Bateman and Dr. Smith 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. If you are interested in tubal reversal please visit our tubal reversal surgery Web site.