Fertility and Sterility
Volume 92, Issue 1 , Pages 393.e15-393.e17, July 2009

Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert

  • Kenan Omurtag, M.D.

      Affiliations

    • Corresponding Author InformationReprint requests: Kenan Omurtag, M.D., 69 Jesse Hill Jr. Drive, Department of Gynecology and Obstetrics, Room 412, Atlanta, Georgia 30303 (FAX: 404-521-3589).
    • ,
  • Samuel Pauli, M.D.
    • ,
  • Donna Session, M.D.

Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia

Received 18 January 2009; received in revised form 5 March 2009; accepted 10 March 2009. published online 28 April 2009.

Objective

To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy.

Design

Case report.

Setting

University hospital.

Patient(s)

A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx.

Intervention(s)

Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert.

Main Outcome Measure(s)

Pregnancy.

Result(s)

Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency.

Conclusion(s)

Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.

Key Words: Proximal tubal occlusion, hysteroscopic microinsert, hydrosalpinx, Essure, tubal factor, infertility

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 K.O. has nothing to disclose. S.P. has nothing to disclose. D.S. has nothing to disclose.

PII: S0015-0282(09)00612-8

doi:10.1016/j.fertnstert.2009.03.047

Fertility and Sterility
Volume 92, Issue 1 , Pages 393.e15-393.e17, July 2009

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