Korean J Obstet Gynecol.  2012 Dec;55(12):929-934. 10.5468/KJOG.2012.55.12.929.

Efficacy of surgical treatment for successful pregnancy in infertile patients with hydrosalpinx

• Bae JY
• Koo HS
• Hwang YI
• Park CW
• Cha SH
• Yang KM

• KMID: 2274199
• DOI: http://doi.org/10.5468/KJOG.2012.55.12.929

Abstract

OBJECTIVE
The aim of this study is to evaluate the efficacy of surgical treatment in patients with hydrosalpinx on the success of the pregnancy.
METHODS
We retrospectively analyzed the medical records of 65 patients who were diagnosed to hydrosalpinx by hysterosalpingogram. Among 65 patients who diagnosed to hydrosalpinx, 38 patients were received surgical treatment (surgical treatment group). Otherwise, 27 patients didn't received any surgical treatment and classified as no treatment group. After then, surgical treatment group was subgrouped into two groups according to their method of surgery such as salpingoneostomy group (n = 29) and salpingectomy group (n = 9). Then we analyzed several factors related to pregnancy of each group.
RESULTS
There were no statistically significant differences in age, duration of infertility, fertility history and causes of infertility between groups. The in vitro fertilization (IVF) success rate in salpingectomy group (77.8%) was significantly higher than that of no treatment group (34.8%) (p=0.035).
CONCLUSION
In infertile patients with hydrosalpinx, surgical treatment of hydrosalpinx seems to have beneficial effects to increase the success rate of pregnancy through IVF.

Keyword

Infertility; Salpingoneostomy; Salpingectomy; Pregnancy rate; In vitro fertilization

MeSH Terms

Fertility
Fertilization in Vitro
Humans
Infertility
Medical Records
Pregnancy
Pregnancy Rate
Retrospective Studies
Salpingectomy