title: Management of hydrosalpinx before IVF: a literature review.
abstract: Hydrosalpinx has a detrimental effect on the outcome of in vitro fertilization (IVF). Surgical intervention such as salpingectomy or tubal occlusion before IVF improves the outcome of IVF, but these procedures are often contraindicated in women with dense pelvic adhesions. Thus, it is worthwhile to search minimally invasive alternative therapies. The main objective of this review is to assess and compare the value of all the therapeutic options for hydrosalpinx before IVF. The results of the following procedures were compared: the laparoscopic treatments (salpingectomy/proximal tubal occlusion), the hysteroscopic insertion of device achieving tubal occlusion, the tuberous sclerosis and the aspiration of hydrosalpingeal fluid at the time of IVF procedure. Laparoscopic surgical treatment should be considered for all women with hydrosalpinx before IVF. Whenever laparoscopy is not recommended, hysteroscopic insertion of device seems the most effective option for management of hydrosalpinx before IVF.
authors.affiliation: a Department of Gynecology , Obstetrics and Urology, Policlinico Umberto I, University "Sapienza" , Rome , Italy.
authors.forename: S
authors.initials: S
authors.lastname: D'Arpe
authors.affiliation: a Department of Gynecology , Obstetrics and Urology, Policlinico Umberto I, University "Sapienza" , Rome , Italy.
authors.forename: S
authors.initials: S
authors.lastname: Franceschetti
authors.affiliation: a Department of Gynecology , Obstetrics and Urology, Policlinico Umberto I, University "Sapienza" , Rome , Italy.
authors.forename: J
authors.initials: J
authors.lastname: Caccetta
authors.affiliation: a Department of Gynecology , Obstetrics and Urology, Policlinico Umberto I, University "Sapienza" , Rome , Italy.
authors.forename: D
authors.initials: D
authors.lastname: Pietrangeli
authors.affiliation: a Department of Gynecology , Obstetrics and Urology, Policlinico Umberto I, University "Sapienza" , Rome , Italy.
authors.forename: L
authors.initials: L
authors.lastname: Muzii
authors.affiliation: a Department of Gynecology , Obstetrics and Urology, Policlinico Umberto I, University "Sapienza" , Rome , Italy.
authors.forename: P B
authors.initials: PB
authors.lastname: Panici
mesh_terms: D005184:Fallopian Tube Diseases / Q000150:complications / Q000628:therapy*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology* / Q000628:therapy; D010535:Laparoscopy; D058994:Salpingectomy; D015911:Sclerotherapy; D013396:Suction
keywords: Essure; hydrosalpinx; in vitro fertilization; laparoscopy; sclerotherapy; ultrasound-guided aspiration