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217383

Hysteroscopic versus Laparoscopic Tubal Occlusion in Hydrosalpinx Prior to ICSI

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Studies carried out over the past years have suggested that hydrosalpinges reduce the pregnancy ratein IVF. The efficacy of hysteroscopic tubal electrocoagulation compared with laparoscopic tubaldisconnection for manage-ment of hydrosalpinx related infertility among patients under-going ICSI. Patients and Methods: A prospective study was conducted among patients who had unilateral or bilateral hydrosalpinges identified on hysterosalpingography and vaginal ultrasonog-raphy, and who were undergoingIVF at Mansoura University Hospital, gynecology outpatient clinic and fertility care clinic during period from January 2016 to January 2020. Study Design: Non Randomized-controlled study. Results: A total of 80 infertile women with documented hydrosalpinx and who will be subjected to IVF procedure were divided into 2 groups; (40) patients underwent hystero-scopic tubal electrocoagulation (group 1); the other (40) patients whom were submitted to laparoscopic disconnection of the tube (group 2). All patients who had contraindications for laparoscopy were scheduled for hysteroscopic tubal elec-trocoagulation so it was non randomized study. There was no statistically significant difference between both groups in age, BMI, and duration of infertility. For all patients, hysterosalp-ingography was performed 3 months after their procedure to evaluate proximal tubal occlusion. The procedure was suc-cessful in terms of tubal occlusion for 37 (93%) of 40 hydro-salpinges in group 1, and 39 (98%) of 40 hydrosalpinges in group 2 (p=0.615). No intraoperative or postoperative com-plications were reported. Conclusion: Hysteroscopic tubal electrocoagulation was found to be a successful treatment for hydrosalpinges before IVFwhen laparoscopy is contraindicated.

DOI

10.21608/mjcu.2021.217383

Keywords

Hydrosalpinx, Hysteroscopy, Electrocoagulation, in vitro fertilization, Laparoscopy, Tubal occlusion

Authors

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HISHAM NAGIB, M.D.; HESHAM SHALAN, M.D.;

Last Name

HAMED YOUSSEF, M.D.

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First Name

MOHAMED

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ALAA EL-DEEN MOSBAH, M.D.

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Affiliation

The Department of Obstetrics and Gynaecology, Mansoura University Hospital, Mansoura Faculty of Medicine.

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Volume

89

Article Issue

December

Related Issue

22432

Issue Date

2021-12-01

Receive Date

2021-09-05

Publish Date

2021-12-01

Page Start

2,481

Page End

2,488

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_217383.html

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https://mjcu.journals.ekb.eg/service?article_code=217383

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31

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Hysteroscopic versus Laparoscopic Tubal Occlusion in Hydrosalpinx Prior to ICSI

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Article

Created At

22 Jan 2023