Restoring the patency of fallopian tubes using the transcervical selective hysterosalpingography methods - a clinical case analysis

Wójcik Justyna, Piotrowska Paulina, Obuchowska Aleksandra, Ozga Alicja, Zych Anna, Kimber-Trojnar Żaneta, Leszczyńska-Gorzelak Bożena. Restoring the patency of fallopian tubes using the transcervical selective hysterosalpingography methods - a clinical case analysis. Journal of Education, Health and Sport. 2019;9(9):415-423. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3408517 http://ojs.ukw.edu.pl/index.php/johs/article/view/7444 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.09.2019. Revised: 14.09.2019. Accepted: 15.09.2019. Restoring the patency of fallopian tubes using the transcervical selective hysterosalpingography methods - a clinical case analysis Justyna Wójcik1a, Paulina Piotrowska1b, Aleksandra Obuchowska1c, Alicja Ozga1d, Anna Zych1e, Żaneta Kimber-Trojnar2f, Bożena Leszczyńska-Gorzelak2g 1Student's Scientific Association at the Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, Poland 2Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, Poland ajustynawojcik455@gmail.com; bpaulina.piotrowska222@gmail.com; caobuchowska12@gmail.com; daozga1@gmail.com; eanna.zych93@gmail.com; fzkimber@poczta.onet.pl; gb.leszczynska@umlub.pl; Corresponding author: Justyna Wójcik Student's Scientific Association at the Chair and Department of Obstetrics and Perinatology Jaczewskiego 8 Street 20-954 Lublin, Poland e-mail: justynawojcik455@gmail.com Abstract Introduction: Infertility caused by tubal occlusion is a relatively frequent affliction among women of child-bearing age. A common cause of tubal occlusion are mucous plugs accumulated inside the fallopian tubes, which results in blocking them. Selective hysterosalpingography (SHSG) is a method of removing the obstruction located in a proximal section of the fallopian tube. The most serious complication developed from this procedure is a fallopian tube perforation, however, it affects less than 1% of patients who undergo the treatment. The clinical success of recanalization of the fallopian tubes is estimated at about 85-88% and the frequency of successful pregnancies after the treatment is about 27%. Aim: To show the usage and effectiveness of SHSG in diagnosis and treatment in the obstruction of proximal section of fallopian tube. Case report: The patient, 33 years old, diagnosed with primary infertility, qualified to the SHSG at Independent Public Clinical Hospital No. 4 in Lublin. The first stage of SHSG was the insertion of a catheter into the uterine cavity and introduction of a contrast agent to the uterine cavity. The fallopian tubes did not release the contrast into the peritoneal cavity. After increasing the contrast, delivery pressure agent obtained the free flow of the contrast agent into the peritoneal cavity through the right fallopian tube. The uterine outlet of the left fallopian tube was selectively catheterized and a micro tool was inserted into the left fallopian tube. As the result, both fallopian tubes were unblocked. Summary: SHSG is a non-invasive and safe method of removing the obstruction located in the proximal section of the fallopian tube. Women subjected to SHSG can return to their normal activities in a few hours after treatment. Key words: female infertility, transcervical fallopian tube recanalization, selective hysterosalpingography, proximal tubal occlusion