Back to Sections

Publication:

Surgical Technology International XIV - Gynecology

Article title:

Management of Tubal Obstructions

Author(s)

Diaa M. El-Mowafi
Professor, Department of Obstetrics and Gynaecology
Benha Faculty of Medicine, Egypt Researcher and Educator
Wayne State University
Detroit, Michigan, USA

Fellow and Lecturer, Geneva University
Geneva, Switzerland

Consultant and Head of Obstetrics & Gynecology Department
King Khalid General Hospital
Hafr El-Batin, Saudi Arabia

Nkele Ndeki Ngoh
Registrar, Geneva University
Geneva, Switzerland

Abstract

Management of the tubal factor could have the most difficult and debatable role in infertility management. The methods used ranged from gaseous insufflation, hydrotubation, laparotomy, and traditional microsurgery to the more recent tactile or hysteroscopic catheterization, and laparoscopic surgery. Results of the in-vitro-fertilization-embryo transfer (IVF-ET) or intracytoplasmic sperm injection (ICSI) were compared to the surgical procedures' results and the debate continues: shall we proceed directly to assisted reproductive techniques or should surgery be tried first in tubal obstructions?