Management of infertile patients with unilateral tubal pathology by paradoxical oophorectomy.
Removal of a severely pathologic adnex to improve fertility in patients with strictly unilateral tubal disease is called paradoxical oophorectomy. This procedure was carried out in nine patients in our department. Seven of them became pregnant (78%). Four of these pregnancies occurred within a year, two during the 2nd year, and one during the 3rd year after the operation. These results were compared with the pregnancy rates in 15 patients with comparable tubal disease who were not operated on. Only four of these women became pregnant (27%); this difference is significant (P less than 0.05). Theoretic considerations and practical implications concerning paradoxical oophorectomy are discussed. We advise a wait of at least 2 years after diagnostic laparoscopy before performing paradoxical oophorectomy.
D002369:Castration; D005184:Fallopian Tube Diseases / Q000150:complications / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010053:Ovary / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D013997:Time Factors