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Human Reproduction, Vol. 15, No. 7, 1427-1430, July 2000
© 2000 European Society of Human Reproduction and Embryology

Debate continued

Hydrosalpinx and ART

Hydrosalpinx – functional surgery or salpingectomy?

Patrick Puttemans1,2, Rudi Campo1,3, Stephan Gordts1,3 and Ivo Brosens1,4

1 Leuven Institute for Fertility and Embryology, Tiensevest 168, B-3000 Leuven, 2 Department of Obstetrics and Gynaecology, St Elisabeth Hospital, Avenue De Fré 206, B-1180 Brussels, and 3 Unit for Reproductive Medicine, H.Hart Hospital, Naamsestraat 205, B-3000 Leuven, Belgium

Abstract

The debate on the effect of the hydrosalpinx on medically-assisted reproduction has demonstrated the importance of understanding the complex pathophysiology of the hydrosalpinx in outlining the principles of its clinical management, whether it is by functional surgery or IVF, preceded or not by salpingectomy. New endoscopic techniques are available to accurately assess, both in the operating room and the office, the quality of the tubal mucosa. The direct endoscopic evaluation of the tubal mucosa in hydrosalpinges is at present the most reliable technique to select between functional surgery and preventive salpingectomy. In future, prospective randomized studies on salpingectomy will benefit greatly from accurate clinicopathological data.

Key words: hydrosalpinx/mucosal adhesions/salpingectomy/tubal surgery/tubal mucosa

Notes

4 To whom correspondence should be addressed at: Leuven Institute for Fertility and Embryology, Tiensevest 168, B-3000 Leuven, Belgium. E-mail: ivo.brosens{at}med.kuleuven.ac.be

This debate was previously published on Webtrack, May 3, 2000


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