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A hydrosalpinx is a condition that occurs when a fallopian tube is blocked and fills with serous or clear fluid near the ovary (distal to the uterus). The blocked tube may become substantially distended giving the tube a characteristic sausage-like or retort-like shape.
Treatment of fallopian tube obstruction has traditionally been treated with fallopian tubal surgery with a goal of restoring patency to the tubes and thus possibly normal function. A common modern day method of treatment is in vitro fertilization as it is more cost-effective, less invasive, and results are immediate.
Tubal obstruction and hydrosalpinx are commonly seen as well. Other techniques include laparoscopic chromopertubation , salpingoscopy, and transvaginal hydrolaparoscopy (the latter allows visualization of the tubal mucosa) [ 5 ]
Other indications for a salpingectomy include infected tubes (as in a hydrosalpinx) or as part of the surgical procedure for tubal cancer. [citation needed] A bilateral salpingectomy will lead to sterility, and was used for that purpose; however, less invasive, possibly reversible procedures have become available as tubal occlusion procedures.
Polyps can increase the risk of miscarriage in women undergoing IVF treatment. [3] If they develop near the fallopian tubes, they may lead to difficulty in becoming pregnant. [3] Although treatments such as hysteroscopy usually cure the polyp concerned, recurrence of endometrial polyps is frequent. [7] Untreated, small polyps may regress on ...
IVF treatment and the outcome of IVF remains consistent in two cohorts of patients – one with salpingectomy and the other without. In patients with hydrosalpinx, it is highly beneficial to have prophylactic salpingectomy before conceiving due to potential difficulties in achieving pregnancy.
This is then typically followed by surgery, although some treat the condition without surgery by using atropine. [1] Results are generally good in both the short term and the long term. [1] About one to two per 1,000 babies are affected, and males are affected about four times more often than females. [1] The condition is very rare in adults. [6]
Hematosalpinx; Laparoscopic view, looking from superiorly to inferiorly in the peritoneal cavity which has been pumped up with carbon dioxide gas to visualize the uterus (marked by blue arrows).