Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population.
OBJECTIVE
The purpose of this study was to determine the recurrence rate of hydrosalpinges after cuff neosalpingostomy in poor prognosis candidates.


METHODS
Forty consecutive patients with hydrosalpinx treated with cuff neosalpingostomy were included. Main outcome measures were recurrence rate of hydrosalpinx after cuff neosalpingostomy, intrauterine and ectopic pregnancy rates.


RESULTS
Intraoperatively, the mean size of the hydrosalpinx was 1.9+/-0.7 cm, and 77% of patients had evidence of pelvic adhesions. Recurrence of hydrosalpinx, whether unilateral or bilateral was 70% (28/40) per patient. Intrauterine and ectopic pregnancy rates were 5% (2/40) and 2.5% (1/40), with a total pregnancy rate of 7.5% (3/40).


CONCLUSIONS
Most patients experience recurrence of hydrosalpinx after cuff neosalpingostomy, thus requiring additional surgery such as salpingectomy prior to in vitro fertilization (IVF). In a poor prognosis population, salpingectomy should be considered as the primary treatment for hydrosalpinx prior to IVF.
Bayrak
Aykut
A
Department of Obstetrics and Gynecology, University of Southern California-Keck School of Medicine, Women's and Children's Hospital, Los Angeles, CA 90033, USA. aykutb@aol.com
Harp
Djana
D
Saadat
Peyman
P
Mor
Eliran
E
Paulson
Richard J
RJ
D000328:Adult; D005184:Fallopian Tube Diseases / Q000473:pathology / Q000517:prevention & control / Q000601:surgery*; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000628:therapy*; D011247:Pregnancy; D018873:Pregnancy Rate; D011271:Pregnancy, Ectopic / Q000453:epidemiology; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D012489:Salpingostomy / Q000379:methods*; D016896:Treatment Outcome