Tubal Recanalization

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Tubal recanalization is a procedure used to open selected blockages near the uterine end of a fallopian tube. A fine guidewire or catheter is passed into the tube under imaging or hysteroscopic guidance. It is suitable only for carefully selected types of proximal blockage.

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Who May Be Considered?

- A suspected proximal blockage on HSG
- No severe distal tubal damage
- No significant hydrosalpinx
- A clinical situation in which restoring tubal passage may support natural conception
- Appropriate ovarian reserve and semen findings

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Procedure Overview

1. Previous imaging is reviewed
2. Pregnancy and active pelvic infection are excluded
3. A catheter is passed through the cervix into the uterus
4. The blocked tubal opening is carefully approached
5. Contrast may confirm whether passage has been restored
6. Further fertility planning is based on the result

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Possible Risks
- Cramping or spotting
- Infection
- Tubal perforation
- Failure to open the tube
- Re-blockage
- Ectopic pregnancy after conception

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When May It Not Be Suitable?
- Severe distal tubal damage
- Large hydrosalpinx
- Extensive pelvic adhesions
- Active infection
- Repeated ectopic pregnancy risk
- Another fertility factor that makes IVF more appropriate