Tubal and Pelvic Reconstruction


There are many different causes of infertility, and often more than one cause exists.  Issues involving the fallopian tube or distortion of the anatomy of the pelvis are often one of the causes.

Tubal blockage, endometriosis, pelvic adhesions are a few issues that can lead to infertility and sometimes pelvic pain.

Often the standard approach is to bypass these issues when ‘treating’ infertility with artificial reproductive technologies.  A restorative approach seeks correct the underlying anatomical issue to give the couple the best chance of achieving pregnancy on their own.

Pelvic Reconstruction

Therapies that are consistent with a restorative approach in the treatment of tubal or pelvic issues include:  tubal canalization (opening of fallopian tubes) for tubal sludge or spasm1, fimbrioplasty (or opening of ends of blocked tubes), tubal reversal (reconnecting tubes cut or coagulated for sterilization)2, excision of endometriosis (see other topic article), and pelvic construction for adhesion prevention.



1.         Hilgers TW, Yeung P. Intratubal pressure before and after transcervical catheterization of the fallopian tubes. Fertil Steril 1999;72:174-8.

2.         la Grange J, Kruger TF, Steyn DW, et al. Fallopian tube reanastomosis by laparotomy versus laparoscopy: a meta-analysis. Gynecol Obstet Invest 2012;74:28-34.



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