The findings of this study provide a detailed examination of the effectiveness and risks associated with Fallopian Tube Recanalization (FTR).From the total cohort of 200 patients who underwent the procedure, the success rate for initial tubal patency post-procedure was 82%. This result was slightly higher among patients who underwent laparoscopic surgery (85%) compared to those who received hydrosalpingoscopy (78%). Patients with distal or fimbrial blockages had a higher success rate (86%) compared to those with proximal blockages, where the success rate dropped to 73%

The pregnancy rate within six months following the procedure was 45%, with a live birth rate of 38%. This was significantly higher than the rates observed in a similar cohort of patients who had opted for in-vitro fertilization (IVF) as an alternative to recanalization. Among patients who achieved pregnancy post-recanalization, the majority experienced spontaneous conception within the first three months following the procedure.

The study also evaluated the emotional and psychological impact of FTR on patients. Those who underwent the procedure reported a significant improvement in their psychological well-being, with a marked reduction in stress and anxiety levels as compared to pre-procedure measurements. However, patients with multiple failed recanalization attempts or re-obstructions expressed dissatisfaction, indicating that the procedure may not always guarantee permanent fertility restoration.

In terms of complications, the incidence of infection was reported in 3% of patients, with mild pelvic infections being the most common. Two patients (1%) developed post-operative adhesions that resulted in a second surgery. There were no cases of major hemorrhage, and the overall complication rate was low. Importantly, the study found that FTR was particularly successful in unilateral tubal blockages, with patients achieving a pregnancy rate of 50% post-procedure, whereas bilateral tubal blockages resulted in a pregnancy rate of only 28%.

We also found that agewas a significant predictor of success, with women under the age of 35 having a higher chance of pregnancy following the procedure (55% pregnancy rate) compared to those aged 36 and above (30% pregnancy rate). Additionally, patients with clear and non-damaged tubesat the time of the procedure had significantly higher rates of success than those with severely scarred or compromised fallopian tubes.

Finally, we found that endometrial healthand the presence of any other fertility-related issues such as male factor infertility, uterine abnormalities, or polycystic ovary syndrome (PCOS) were important contributors to the success of the procedure. The patients who had no other complicating factors had better outcomes, suggesting that FTR is most effective when there are no additional underlying fertility issues.