Fallopian tube recanalization
A minimally invasive way to reopen a blocked fallopian tube, often without an incision.
What is tubal recanalization?
Your fallopian tubes carry an egg from the ovary to the uterus. A blockage near the uterus can keep the egg and sperm from meeting. In recanalization, a thin catheter is guided through the cervix and uterus to the opening of the tube to clear the blockage.
It is a gentle first step for the right patient, and it can sometimes spare you a larger surgery.
Who may benefit
Women whose HSG or selective HSG shows a blockage in the part of the tube closest to the uterus. Not every blockage can be treated this way. Blockages farther along the tube, or tubes damaged by infection or endometriosis, may need a different approach.
Before the procedure
We review your imaging and history and talk through whether recanalization is likely to help. It is usually scheduled early in your cycle, after your period ends and before ovulation, and we will give you instructions to prepare.
During the procedure
The procedure is done in hospital radiology. A thin catheter is guided through the cervix to the opening of the tube under imaging. Dye helps confirm the blockage and, when appropriate, open it and check that the tube is clear. You may feel cramping.
Recovery
Most patients return to normal activity quickly. Mild cramping or spotting can follow. We will give you specific instructions, including when to call us.
If you hope to conceive
If the tube opens, we plan timing with you, often using your cycle chart, and we keep looking for other factors that may affect fertility. Opening a tube does not guarantee pregnancy, and a tube can become blocked again.
Risks to know
Cramping, spotting, and infection are possible, and rarely the tube or uterus can be injured. Tubes that have been damaged carry a higher chance of a tubal (ectopic) pregnancy, so we will review warning signs with you.
Why we offer it
Opening a tube without major surgery can be a gentle step for the right patient. When recanalization is not the answer, we talk through the alternatives with you, including surgical repair of the tube, so you can choose with confidence.