Obstet Gynecol Sci.  2014 Jan;57(1):82-85.

Successful pregnancy by direct intraperitoneal insemination in an infertile patient with failure of recanalization of isthmic stenosis after laparoscopic radical trachelectomy

• Choi SY
• Lee KH
• Suk HJ
• Chae HD
• Kang BM
• Kim CH

Abstract

Radical trachelectomy is a promising fertility-sparing treatment for patients with early stage cervical cancer who want to preserve their fertility. However, isthmic stenosis occurs frequently in patients who received radical trachelectomy and it is one of the causes of infertility following radical trachelectomy. Moreover, despite the treatment for recanalization of isthmic stenosis, recanalization can fail or isthmic stenosis can recur. Herein we report a successful pregnancy and birth by direct intraperitoneal insemination in an infertile woman with failure of recanalization of isthmic stenosis after laparoscopic radical trachelectomy.

Keyword

Direct intraperitoneal insemination; Isthmic stenosis; Laparoscopic radical trachelectomy

MeSH Terms

Constriction, Pathologic*
Female
Fertility
Humans
Infertility
Insemination*
Parturition
Pregnancy*
Uterine Cervical Neoplasms

Figure

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  Fig. 1 (A) Magnetic resonance imaging shows 1.6 cm-sized mass in anterior wall of the cervix (white arrow indicates the cervical mass). (B) Gross finding shows the tumor confirmed as poorly differentiated squamous cell carcinoma with clear resection margin (measuring 3.3 × 3.0 × 0.5 cm) (white arrow indicates the cervical mass).

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  Fig. 2 The needle attached to semen containing syringe was put into the posterior cul-de-sac along the biopsy guide.

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