{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:07:38Z","timestamp":1784552858426,"version":"3.55.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"\n Objectives:<\/jats:title>\n Tubal infertility accounts for approximately 30% of infertility cases in women. Falloposcopic tuboplasty (FT) is used in women with proximal tubal obstruction. However, it is technically challenging because of difficulties in locating the tubal ostium and confirming success. To address these challenges, we developed a hysteroscopically assisted FT (HA-FT). This study aimed to evaluate the efficacy of HA-FT in women with tubal infertility.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n This prospective unblinded study included infertile women with proximal tubal obstruction who desired a natural conception. HA-FT was performed under either intravenous or general anesthesia. Postoperative hysterosalpingography was performed in an operating room to confirm success. Success and pregnancy rates of HA-FT were compared with those of regular FT (Reg-FT).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Regular FT (\n n<\/jats:italic>\n = 73; 119 tubes) was performed before 2013, and HA-FT (\n n<\/jats:italic>\n = 72; 136 tubes) was introduced thereafter. Patient characteristics were similar between the two groups. Operative time was not significantly different (Reg-FT: 37.7 \u00b1 18.7 min vs. HA-FT: 44.3 \u00b1 18.2 min). The success rate per patient was significantly higher in a HA-FT group (72\/72,100%) than that in a Reg-FT group (63\/73, 86.3%,\n P<\/jats:italic>\n < 0.05). Similarly, success rate per tube was significantly higher for HA-FT (135\/136, 99.3%) than that for Reg-FT (95\/119, 79.8%;\n P<\/jats:italic>\n < 0.01). Natural pregnancy rates were similar between the groups (HA-FT: 20\/58, 34.4%; Reg-FT: 20\/61, 32.7%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n HA-FT is a safe, effective, and reliable method for the treatment of proximal tubal obstruction. Its natural pregnancy rates are acceptable, making it a promising option for women with tubal infertility.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/gmit.gmit-d-25-00036","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:00:38Z","timestamp":1784304038000},"page":"247-253","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Safety and Effectiveness for Hysteroscopically Assisted Falloposcopic Tuboplasty in Women with Proximal Tubal Infertility"],"prefix":"10.4103","volume":"15","author":[{"given":"Atsushi","family":"Fukui","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayano","family":"Yamaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rie","family":"Fukuhara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hirosaki University, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Mabuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihito","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hirosaki University, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"R1-20260720","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/humrep\/13.1.71","article-title":"Falloposcopic tuboplasty for bilateral tubal occlusion. A novel infertility treatment as an alternative for in-vitro fertilization?","volume":"13","author":"Sueoka","year":"1998","journal-title":"Hum Reprod"},{"key":"R2-20260720","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.fertnstert.2010.07.1065","article-title":"Falloposcopic tuboplasty as an option for tubal infertility: An alternative to in vitro fertilization","volume":"95","author":"Tanaka","year":"2011","journal-title":"Fertil Steril"},{"key":"R3-20260720","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1016\/j.jmig.2011.06.014","article-title":"Renaissance of surgical recanalization for proximal fallopian tubal occlusion: Falloposcopic tuboplasty as a promising therapeutic option in tubal infertility","volume":"18","author":"Tanaka","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"key":"R4-20260720","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1016\/j.fertnstert.2015.03.032","article-title":"Role of tubal surgery in the era of assisted reproductive technology: A committee opinion","volume":"103","year":"2015","journal-title":"Fertil Steril"},{"key":"R5-20260720","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1111\/1471-0528.15457","article-title":"The effect of unilateral tubal block diagnosed by hysterosalpingogram on clinical pregnancy rate in intrauterine insemination cycles: Systematic review and meta-analysis","volume":"126","author":"Tan","year":"2019","journal-title":"BJOG"},{"key":"R6-20260720","first-page":"CD006415","article-title":"Surgery for tubal infertility","volume":"1","author":"Chua","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"R7-20260720","doi-asserted-by":"crossref","first-page":"e54","DOI":"10.1016\/j.fertnstert.2020.08.171","article-title":"Oviductal patency of women affects significant influences on clinical outcome of ART treatment","volume":"114","author":"Fukuda","year":"2020","journal-title":"Fertil Steril"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/gmit.GMIT-D-25-00036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:00:08Z","timestamp":1784552408000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/gmit.GMIT-D-25-00036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit-d-25-00036","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2024-09-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}