Laparoscopic Treatment of Hydrosalpinx: Factors Affecting Pregnancy Rate

Study Objective, To evaluate the efficacy of laparoscopic surgery in a series of women with hydrosalpinx. Design. Prospective, observational study (Canadian Task Force classification IL-2). Setting. University-affiliated hospital. Patients. Sixty-one women undergoing bilateral neosalpingostomy and restoration of tubal ovarian anatomy laparoscopically, and followed for 24 months. Intervention. Video-controlled operative laparoscopy using standard four-puncture technique. Measurements and Main Results. During 24-month follow-up, cumulative intrauterine pregnancy rates at 6-month intervals were 6.8%, 13.6%, 20.5%, and 20.5% for patients with only distal tubal obstruction and 12%, 23%, 29%, and 29% For those with mild degree of tubal disease and periadnexal adhesions. Miscarriage rate for intrauterine pregnancies was zero in both groups. Conclusion. Operative laparoscopy seems to be an effective treatment for hydrosalpinx in terms of pregnancy outcome.