Evidence-based diagnosis and management of tubal factor infertility

@article{Kodaman2004EvidencebasedDA,
  title={Evidence-based diagnosis and management of tubal factor infertility},
  author={Pinar H. Kodaman and Aydın Arıcı and Emre Seli},
  journal={Current Opinion in Obstetrics and Gynecology},
  year={2004},
  volume={16},
  pages={221-229}
}
Purpose of review The investigation for potential tubal disease is an essential step in the work-up of infertility. This review article provides an evidence-based overview of the diagnosis and management of tubal factor infertility. Recent findings While laparoscopic chromopertubation remains the gold standard in the diagnosis of tubal disease and hysterosalpingography is still widely used, newer modalities offer some advantages. Sonohysterography with the use of contrast medium is superior to… 

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References

SHOWING 1-10 OF 126 REFERENCES

Techniques for pelvic surgery in subfertility.

TLDR
There is no evidence of benefit or disadvantage of tubal surgery versus no treatment or alternative treatments, and the role of operative laparoscopy to perform infertility surgery is evaluated.

Salpingoscopy

TLDR
The prognostic value of salpingoscopy during operative laparoscopy for tubal factor infertility in terms of reproductive outcome has been confirmed and the prognostic significance of microsalpedoscopy needs further validation in large‐scale clinical trials.

The prognostic role of salpingoscopy in laparoscopic tubal surgery.

TLDR
It is suggested that patients with tubal infertility should be offered operative laparoscopy with salpingoscopy as the first step of treatment.

Therapeutic strategies in tubal infertility with distal pathology.

TLDR
It is concluded that a short delay after surgery, averaging 6 months to 1 year, before involving patients in IVF, is very important.

Technical results of falloposcopy for infertility diagnosis in a large multicentre study.

TLDR
It was concluded that the method currently qualifies for selected indications rather than for routine clinical application, confirming the importance of these factors.

Hysterosalpingo-contrast sonography of the uterus and fallopian tubes: results of a clinical trial of a new contrast medium in 120 patients.

The feasibility, diagnostic efficacy, and patient tolerance of a new diagnostic modality, hysterosalpingo-contrast sonography (HyCoSy), were evaluated in a clinical study of 120 patients with
...