Treatments

Fallopian Tube Recanalization (FTR) is a minimally invasive, image-guided procedure aimed at restoring patency in blocked fallopian tubes, which is a common cause of female infertility. The procedure is typically performed under fluoroscopic guidance using a catheter and guidewire inserted through the cervix into the uterus and then into the blocked fallopian tube. Contrast dye is used to identify the site of obstruction. By gently traversing or dilating the blockage, normal passage of eggs from the ovary to the uterus can be restored, improving chances of natural conception. FTR is a safe and effective alternative to more invasive surgical procedures, and it avoids abdominal incisions, allowing quick recovery.

Indications

• Infertility due to proximal fallopian tube blockage
• History of pelvic inflammatory disease or post-surgical adhesions
• Blockage detected on hysterosalpingography (HSG)

Procedure Steps

• Cervical access using a catheter
• Injection of contrast dye to locate blockage
• Guidewire or balloon catheter used to recanalize blocked tube
• Follow-up contrast injection to confirm tubal patency

Benefits

• Minimally invasive, no abdominal surgery
• Quick recovery, often outpatient procedure
• Preserves natural fertility potential
• Can be repeated if necessary

Risks / Complications

• Infection (rare, usually preventable with antibiotics)
• Uterine or tubal perforation (very rare)
• Mild cramping or bleeding
• Re-blockage may occur in some cases