Transcervical catheterization of fallopian tube, radiological supervision and interpretation
CPT4 code
Name of the Procedure:
Transcervical Catheterization of Fallopian Tube, Radiological Supervision and Interpretation
Summary
Transcervical catheterization of the fallopian tube is a minimally invasive procedure used to clear blockages in the fallopian tubes. This procedure is performed with the help of radiological imaging to ensure accurate placement of the catheter.
Purpose
This procedure addresses fallopian tube blockages that can lead to infertility. The goal is to open up the blocked tubes, thereby improving the chances of natural conception.
Indications
- Infertility issues where fallopian tube blockage is suspected
- Persistent pelvic pain related to tubal blockage
- Previous diagnosis of tubal blockage via hysterosalpingogram (HSG) or laparoscopy
Preparation
- Patients may need to fast for a few hours before the procedure.
- Medication adjustments (i.e., blood thinners may need to be paused).
- A pregnancy test and possibly an HSG test may be performed beforehand.
Procedure Description
- The patient lies on an X-ray table.
- A speculum is inserted into the vagina to visualize the cervix.
- A catheter is carefully guided through the cervix and into the fallopian tube under radiological supervision.
- Dye is injected to confirm the position and to highlight the blockage on X-rays.
- A smaller catheter or guidewire may be used to clear the blockage.
- The process is repeated for the other fallopian tube if necessary.
- The catheter and speculum are removed once the procedure is complete.
Duration
The procedure typically takes about 30 minutes to one hour.
Setting
Usually performed in a hospital radiology suite or an outpatient clinic with specialized radiological equipment.
Personnel
- Radiologist or Interventional Radiologist
- Radiologic Technologist
- Nurse or Medical Assistant
Risks and Complications
- Minor bleeding or spotting
- Infection
- Rare risk of perforation of the fallopian tube
- Allergic reaction to the dye
- Mild cramping or discomfort
Benefits
- Increases the chances of natural conception
- Non-surgical and minimally invasive
- Immediate results regarding tube patency
- Short recovery time
Recovery
- Most patients can resume normal activities within a day.
- Mild cramping or light vaginal bleeding may occur.
- Follow-up appointments are typically scheduled to monitor progress.
Alternatives
- In vitro fertilization (IVF)
- Laparoscopic surgery to remove or bypass the blocked tube(s)
- Medication therapies, though less common
- Adoption of fertility lifestyle changes
Patient Experience
Patients may feel mild cramping during and after the procedure. Pain is usually manageable with over-the-counter pain relievers. Most patients can return to their normal routine within 24 hours, but should avoid strenuous activities for a few days.