The aim of the study was to compare the efficacy of hysteroscopic tubal electrocoagulation versus laparoscopic tubal disconnection for management of hydrosalpinx related infertility among patients undergoing ICSI. The sample of the study was 100 patients. Half of the patients underwent hysteroscopic tubal electocoagulation who have laparoscopic contraindications, while the other half underwent laparoscopic tubal disconnection. After tubal occlusion was done, an ICSI cycle was startedwith assessment of chemical pregnancy rate. The rate of positive chemical pregnancy was 50 % in hysteroscopic group and 58% in laparoscopic group, so hysteroscopic tubal electrocoagulation was found to be a successful treatment for hydrosalpinges before ICSI when laparoscopy is contraindicated with chemical pregnancy rate comparable to laparoscopic tubal disconnection.