The Place Of Hydrotubation In The Treatment Of Fallopian Tube Blockage

Introduction
Infertility is the failure to conceive after 12 months or more of regular, unprotected sex. According
to the WHO, about 48 million couples and 186 million individuals live with infertility globally.
About 30–35% of female infertility cases are due to tubal causes.
Anatomy: The fallopian tube is made of the intramural or interstitial part, the isthmus, the ampulla, which is the longest part of the tube, and the infundibulum, which is the distal end of the tube.
Pathology: A proximal, distal, or mid-segmental tubal blockage is possible. A significant
contributor to infertility is tubal blockage; it accounts for 30–35% of infertility cases. The objective
of this study is to demonstrate that hydrotubation has an incommensurate role in managing fallopian tube occlusion in middle and low-income nations.
Methodology: A five-year retrospective hospital-based study was conducted to determine the outcome of the treatment of women undergoing hydrotubation for subfertility at Atlantic Hospital, Mutengene, Fako division of the South West Region, Cameroon.
Results: Out of 168 cases, 146 fallopian tube recanalization in this study was ultimately successful. Forty-three cases of uterine adhesions and 3 cases of uterine synechia were among the 146 cases. The success rate of recanalization of the fallopian tube was 87%. 41 out of 53 patients who had their fallopian tubes unblocked got pregnant three months later, giving a success rate of 77.35%.
Conclusion: in low- and middle-income countries, amidst high poverty rates, hydrotubation has
edifying results.Hydrotubation is simple, available, feasible, and affordable. This seems like a better public health approach for tubal factor blockage