Controversies in the surgical management of hydrosalpinx.
The surgical management of hydrosalpinges is a controversial subject. Chronic pathology of the fallopian tube with distal obstruction leads to the formation of a hydrosalpinx, and is associated with very poor pregnancy rates after surgery. In these cases, in-vitro fertilization has proved to be a much better alternative. However, several studies have shown that patients with hydrosalpinges have significantly lower pregnancy and implantation rates after in-vitro fertilization compared with patients with other forms of tubal damage. The exact mechanism by which the hydrosalpinx adversely affects in-vitro fertilization results is not yet fully understood. The value of performing a salpingectomy before in-vitro fertilization has been studied extensively. Currently, a clear benefit in salpingectomies has been proved for patients with ultrasonically visible hydrosalpinges.
Mansour
R
R
The Egyptian IVF-ET Center, Cairo.
Aboulghar
M
M
Serour
G I
GI
D005184:Fallopian Tube Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D011247:Pregnancy; D017211:Treatment Failure