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The results of tubal surgery in the treatment of infertility in two non-specialist hospitals
Article first published online: 19 AUG 2005
DOI: 10.1111/j.1471-0528.1990.tb02541.x
Issue
1471-0528/asset/cover.gif?v=1&s=b4e1d96c46e18c61210d584b63c13ee375cf562b "BJOG: An International Journal of Obstetrics & Gynaecology")
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 97, Issue 7, pages 561–568, July 1990
Additional Information
How to Cite
WATSON, A. J. S., GUPTA, J. K., O'DONOVAN, P., DALTON, M. E. and LILFORD, R. J. (1990), The results of tubal surgery in the treatment of infertility in two non-specialist hospitals. BJOG: An International Journal of Obstetrics & Gynaecology, 97: 561–568. doi: 10.1111/j.1471-0528.1990.tb02541.x
Publication History
- Issue published online: 19 AUG 2005
- Article first published online: 19 AUG 2005
- Received 17 April 1989; Resubmitted 19 July 1989; Accepted 1 March 1990
- Abstract
- References
- Cited By
Summary. The results of surgery for tubal damage, other than reversal of sterilization, were studied in two large hospitals. This is the first recent study from centres claiming no special expertise in this surgery. An unusually high follow-up rate was obtained. The term pregnancy rate for patients operated on for bilateral distal tubal occlusion was 4%. The success rate is lower than the lowest reported, overall success rates for each cycle of in vitro fertilization (IVF) and very much lower than cumulative term pregnancy rates for tubal surgery reported by most other authors. Patients with distal tubal occlusion but minimal adhesions had the best prognosis. Our results suggest that, provided in vitro fertilization is available, only those patients with good prognostic factors should undergo tubal surgery. These represent the minority of all patients with non-iatrogenic tubal blockage.