Hystérosalpingographie et cathétérisme sélectif des trompes

Abstract

In 2003, the main indication of hysterosalpingography remains female infertility of tubal origin. Selective salpingography may be secondary to an hysterosalpingography that demonstrates a proximal tubal occlusion. Tubal catheterization can thus be undertaken in agreement with both the surgeon and the gynecologist. Hysterosalpingography brings decisive information for both the diagnosis, concerning the location and sometimes the cause of tubal obstruction, and the therapeutic management, since simple selective injection of contrast media may allow re-permeability of fallopian tubes. Tubal re-canalization is reserved to the failure of selective salpingography. Selective salpingography can be proposed as a first-line therapeutic procedure following hysterosalpingography, before more invasive methods (in vitro fertilization, tubal microsurgery).