Fallopian tube disease includes factors such as proximal obstruction or damage of the fallopian tubes, which is related to previous pelvic inflammatory disease, endometriosis, or pelvic surgery. Aim: The purpose of this study is to investigate the fertility outcomes of infertile patients who have unilateral or bilateral proximal tubal obstruction and will be treated with HTC for recanalization under diagnostic laparoscopy. Methods: this was randomized controlled trial, 92 Patients who diagnosed as tubal factor infertility (unilateral or bilateral proximal tubal obstruction) by hysterosalpingography (HSG) in outpatient clinic at Suez Canal university hospitals included in our study according to inclusion and exclusion criteria. Patients were divided into two groups; Group (A) 46 patients undergo Hysteroscopic tubal cannulation with hydrotubation (HTCH) and Group (B) 46 patients undergo HTC Hysteroscopic tubal catheratization. Results: Overall, success rate in group A (75% with 48 tubes recanalized of 64 occluded tubes) is not significant (P> 0.045) compared to group B (66% with 44 tubes recanalized of 64 occluded tubes). Conclusion: Both hysteroscopic tubal cannulations under laparoscopic guidance as well as hysteroscopic tubal catheterization should be recommended as choice for further diagnosis and treatment of infertile women with PTO