Transvaginal uterine cervical dilation with fluoroscopic guidance

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dc.contributor.author Dickey, K.W.
dc.contributor.author Zreik, Tony
dc.contributor.author Hsia, H.C.
dc.contributor.author Eschelman, D.J.
dc.contributor.author Keefe, D.L.
dc.contributor.author Olive, D.L.
dc.contributor.author Glickman, M.G.
dc.date.accessioned 2015-10-07T08:15:42Z
dc.date.available 2015-10-07T08:15:42Z
dc.date.issued 2015-10-07
dc.identifier.issn 0033-8419 en_US
dc.identifier.uri http://hdl.handle.net/10725/2268
dc.description.abstract PURPOSE: To assess efficacy of uterine cervical dilation performed with fluoroscopic guidance to treat patients with infertility who have cervical stenosis, false channels within the endocervical canal, or both. MATERIALS AND METHODS: Fifteen patients in whom infertility was diagnosed were referred because the uterine lumen could not be accessed. Three of the patients had endometriosis. With fluoroscopic guidance, the cervix was cannulated and the endocervical canal was dilated with an angioplasty balloon or with dilators. Five patients underwent simultaneous fallopian tube recanalization. Five of 15 patients who underwent dilation subsequently underwent in vitro fertilization for embryo transfer (IVF-ET) or intrauterine insemination. RESULTS: Four patients became pregnant. Of those four, one underwent IVF-ET and one underwent intrauterine insemination. Two patients became pregnant spontaneously. In the five patients who underwent IVF-ET or intrauterine insemination and in the remaining eight patients, the cervix could be easily cannulated up to 7 months after dilation. CONCLUSION: Dilation of the uterine cervix may provide options for treatment in selected patients with infertility. The effect of dilation on patients with other sequelae of cervical obstruction such as endometriosis remains uncertain. en_US
dc.language.iso en en_US
dc.title Transvaginal uterine cervical dilation with fluoroscopic guidance en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle Preliminary results in patients with infertility en_US
dc.author.school SOM en_US
dc.author.idnumber 200802707
dc.author.woa N/A en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Radiology en_US
dc.journal.volume 200 en_US
dc.journal.issue 2 en_US
dc.article.pages 497-503 en_US
dc.identifier.ctation Dickey, K. W., Zreik, T. G., Hsia, H. C., Eschelman, D. J., Keefe, D. L., Olive, D. L., ... & Glickman, M. G. (1996). Transvaginal uterine cervical dilation with fluoroscopic guidance: preliminary results in patients with infertility. Radiology, 200(2), 497-503. en_US
dc.author.email tgzreik@lau.edu.lb
dc.identifier.url http://pubs.rsna.org/doi/abs/10.1148/radiology.200.2.8685347

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