Why does the fallopian tube hurt after hydrotubation?

Clinically, hydrotubation is a common examination method. For example, the fallopian tube is a rubber tube. To check whether it is unobstructed, water will be injected into it. If water flows out from the other side, it is definitely unobstructed. Hydrotubation is based on such a principle and is widely used in clinical practice. So, what exactly causes the pain in the fallopian tube after water intubation?

The fallopian tubes have no sensory nerves, so your feelings may be inaccurate; your condition may be due to pelvic inflammation, water accumulation in the fallopian tubes, etc., and due to the water or fluid medication, you may feel pain and discomfort. If you can tolerate it, you can try applying hot compress to your lower abdomen to see if it gets better. If you can't persist, it is recommended that you see a doctor.

Preoperative preparation

(1) Timing: 3 to 7 days after the end of menstruation and no sexual intercourse for 3 days before surgery.

(2) Those who are confirmed not to be pregnant by various examinations.

(3) Before surgery, check the routine leucorrhea, blood and urine test, body temperature, and blood pressure.

Surgical procedures

(1) Empty the bladder, assume lithotomy position, disinfect the vulva and vagina, and lay a sterile surgical towel.

(2) Bimanual examination is used to understand the size, position, texture, mobility, shape of the uterus and its relationship to surrounding organs, as well as any abnormalities of the bilateral appendages.

(3) Place the speculum, expose the cervix, disinfect the vagina and cervix, clamp the anterior lip of the cervix with a cervical clamp, and pull it outward to make the uterus horizontal.

(4) Use a uterine probe to gently probe the uterine fundus along the direction of the uterus, measure its depth and confirm its curvature and size.

(5) Check that the liquid flow device is intact and leak-free.

(6) Insert the uterine catheter into the cervical canal in the direction of the probe detection and fix it at the pre-selected depth. Clamp the anterior lip of the cervix with a tissue forceps to pull the cervix outward, while pushing the conical head of the catheter inward so that the two fit tightly together. Use a syringe filled with 20 ml of solution to slowly inject the liquid. If 20 ml of liquid is injected smoothly without resistance, there is no leakage outside the cervix, and the patient has no obvious discomfort, it means that the fallopian tube is unobstructed.

(7) If resistance is encountered, a little pressure is applied. The patient will have a little abdominal discomfort and the injection can be successfully completed. There is no leakage from the external cervical os, indicating that the original adhesions have been separated or the spasm has been relieved.

(8) When the fluid is flowing, the sound of fluid coming out from the fimbria of the fallopian tube can be heard by listening with a stethoscope on both sides of the lower abdomen.

(9) When you feel great resistance, fluid overflows from the external cervical opening, and your abdomen becomes bloated and unbearable, it is usually because the fallopian tubes are completely blocked.