Dr Vidushi Mehta

Tubal cannulation

Overview

Tubal cannulation is a minimally invasive procedure used to open blocked or narrowed fallopian tubes, which can cause infertility by preventing the passage of eggs from the ovaries to the uterus or interfering with the fertilization process. Tubal blockages or obstructions can occur due to various factors, such as pelvic inflammatory disease (PID), endometriosis, previous pelvic surgeries, or scarring from infections or ectopic pregnancies. At our clinic in Indore, we offer tubal cannulation as a safe and effective treatment option for women seeking to improve their fertility and achieve pregnancy.

How Tubal Cannulation Works

Tubal cannulation is typically performed under fluoroscopic guidance, a type of X-ray imaging that allows the surgeon to visualize the fallopian tubes and guide the placement of specialized instruments. During the procedure, the surgeon inserts a thin, flexible catheter or wire into the fallopian tube through the cervix and uterus. The catheter is advanced through the blocked or narrowed portion of the tube and gently maneuvered to open the obstruction and restore patency.

Tubal cannulation can be performed using different techniques, including:

  • Hysteroscopic Tubal Cannulation: The catheter is guided through the cervix and uterus using a hysteroscope, a thin, lighted instrument that provides visualization of the uterine cavity and fallopian tubes.

  • Fluoroscopic Tubal Cannulation: The catheter is guided into the fallopian tubes under fluoroscopic guidance, allowing the surgeon to visualize the tubes in real-time and confirm successful cannulation.

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Benefits of Tubal Cannulation

Tubal cannulation offers several benefits for women with blocked or narrowed fallopian tubes, including:

1. Improved Fertility: By opening blocked or narrowed fallopian tubes, tubal cannulation can restore the normal flow of eggs from the ovaries to the uterus, increasing the likelihood of natural conception and pregnancy.

2. Minimally Invasive: Tubal cannulation is typically performed as an outpatient procedure and does not require abdominal incisions or general anesthesia, resulting in shorter recovery times, fewer complications, and lower healthcare costs compared to traditional open surgery.

3. High Success Rates: Tubal cannulation has been shown to have high success rates in achieving tubal patency and improving fertility outcomes, with many women achieving pregnancy within a few months following the procedure.

4. Preservation of Fertility: Tubal cannulation preserves the integrity of the fallopian tubes and allows women to pursue natural conception without the need for more invasive fertility treatments such as in vitro fertilization (IVF) or tubal surgery.

Our Approach

At our clinic, we understand the emotional and psychological impact that infertility can have on individuals and couples. Our team of experienced fertility specialists and reproductive endocrinologists is dedicated to providing compassionate care and personalized treatment options to help women overcome barriers to fertility and achieve their dream of parenthood. We will work closely with you to determine if tubal cannulation is the right choice for your individual needs and goals, and we will guide you through every step of the treatment process with care and expertise.

Frequently asked questions

Tubal cannulation may be recommended for women with blocked or narrowed fallopian tubes who have been unable to achieve pregnancy through natural means or who wish to avoid more invasive fertility treatments such as IVF. Your fertility specialist will evaluate your medical history, diagnostic test results, and reproductive goals to determine if tubal cannulation is appropriate for you.

The duration of the tubal cannulation procedure varies depending on factors such as the severity and location of the tubal blockage and the technique used. In general, the procedure can be completed within 30 minutes to an hour.

Tubal cannulation has been shown to have success rates ranging from 50% to 90% in achieving tubal patency and improving fertility outcomes, depending on factors such as the cause and location of the tubal blockage and the patient’s age and reproductive history.

Recovery after tubal cannulation is usually minimal, with most women able to resume their normal activities within a day or two following the procedure. Some women may experience mild cramping, spotting, or vaginal discharge, which typically resolves within a few days.