Can hydrosalpinx heal on its own?

Hydrosalpinx cannot get better on its own. Even if the patient does not show any symptoms, he or she should still seek treatment in time, otherwise it will induce many gynecological diseases. During the treatment period, you should also pay attention to avoid sexual intercourse as much as possible and ensure the cleanliness of the vulva. If necessary, surgical treatment is required to increase the chances of curing hydrosalpinx.

Surgery

Salpingostomy is suitable for patients with unobstructed proximal fallopian tubes but fluid accumulation and atresia at the distal end.

Laparoscopic salpingostomy surgery first fully frees the adhesions between the fallopian tube and other tissues. The fallopian tube is insulated through the cervix to expand the distal atretic fimbria of the fallopian tube, and the fallopian tube is fixed to the fundus of the uterus with non-destructive forceps. Whenever possible, make a cross incision at the original fallopian tube opening using a carbon dioxide laser or microscissors. If the original opening cannot be identified, a "cross" incision can be made in the thinnest avascular area of ​​the fallopian tube wall. Place the grasping forceps into the incision and open and close it several times until the incision is the desired size. The incision should be made towards the ovary as much as possible to facilitate egg collection in the future.

Use atraumatic forceps to grasp the fallopian tube lining at the new incision and turn it outward. In order to keep the incised valve in an everted state and prevent the new incision from adhering again, the serosal surface of the newly incised valve can be treated with a defocused laser or low-power micro-bipolar electrocoagulation. The surface tissue shrinks to achieve the purpose of everting the incision edge. You can also use 4-0 absorbable sutures to directly suture the everted valve to the serosa of the fallopian tube. During the operation, the wound was continuously irrigated with heparin-containing Ringer's lactate solution (5000U/L). After the operation, lactated Ringer's solution, sodium hyaluronate, antibiotics, corticosteroids, antispasmodics and other drugs can be placed in the pelvic cavity to prevent adhesion.

Nonsurgical treatment

Get adequate rest, reduce sexual intercourse, and thoroughly treat cervicitis, inflammation of the vulva, vagina, and urethral glands, especially cervical erosion, which can cause repeated infection of the appendages and the possibility of acute attacks. In addition, the following methods are available:

1. Antibiotic treatment should be applied locally, and lateral fornix closure or intrauterine injection can be used:

(1) Antibiotic lateral fornix occlusion: once a day or every other day depending on the condition, 7 to 8 times as a course of treatment. If necessary, the injection can be repeated after the next menstruation. Generally, 3 to 4 courses of treatment are required. Dexamethasone or prednisolone can also be added and injected simultaneously.