Pyra K, Szmygin M, Dymara-Konopka, et al. - In this retrospective cohort study, the efficacy of selective salpingography (SSG) with additional tubal catheterization (TC) among infertile patients diagnosed with PTO was examined and the reproductive outcome was analyzed. Among a total of 399 tubes with confirmed proximal tubal occlusion, successful restoration of patency was achieved in 383 resulting in 96 % technical success rate. Thirty-five percent of oviducts that had their patency restored was managed with SSG, however, additional TC was requited in 65%. Findings suggest that for women with tubal occlusion, selective salpingography and tubal canalization offer patient-friendly, minimally invasive and cost-effective alternatives to tubal microsurgery and IVF-ET with very high technical success rate and promising clinical outcomes which also depend on the complexity of couple infertility. Specific indications and limitations emphasize an absolute necessity for a careful assessment of fallopian tubes and comprehensive evaluation of partners' reproductive situation prior to therapy.