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The results of tubal surgery in the treatment of infertility in two non‐specialist hospitals
Author(s) -
WATSON A. J. S.,
GUPTA J. K.,
O'DONOVAN P.,
DALTON M. E.,
LILFORD R. J.
Publication year - 1990
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1990.tb02541.x
Subject(s) - medicine , infertility , in vitro fertilisation , tubal occlusion , sterilization (economics) , pregnancy rate , pregnancy , term pregnancy , surgery , gynecology , obstetrics , family planning , research methodology , population , gestation , biology , genetics , environmental health , monetary economics , economics , foreign exchange market , foreign exchange
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.