What should I do if there is water in the fallopian tube? How to treat hydrosalpinx

Hydrosalpinx often causes fallopian tube blockage and adhesion, making it impossible for the egg to be discharged normally. Therefore, it indirectly affects the patient's fertility. So what should you do if there is water in the fallopian tube? It is usually treated with surgery.

Hydrosalpinx Treatment

1. Fallopian tube fimbria ostomy

Salpingostomy is a traditional treatment method suitable for patients with unobstructed proximal fallopian tubes but hydrops and atresia at the distal end.

2. Lysis of fallopian tube and ovarian adhesions

Adhesions of the fallopian tubes and ovaries are very common in patients with infertility and chronic pelvic pain. It is often caused by infection, endometriosis and previous surgery. Usually the attachments are fixed to the posterior leaflet of the broad ligament or to the lateral pelvic wall.

The fimbria of the fallopian tube is often encapsulated. In severe cases, the appendages may be wrapped in the rectouterine fossa, making it very easy to damage the intestine during surgery. In this case, the fimbria of the fallopian tube is often normal, but is wrapped by severe adhesions and cannot communicate with the pelvic cavity.

Special care should be taken with adhesions between the ovary and the fallopian tube itself, especially at the fimbria of the fallopian tube. Avoid damage to the ovarian surface and fallopian tube fimbria as much as possible. Otherwise, new adhesions will form after surgery. Therefore, try not to use electrocoagulation or laser. Because it can produce thermal damage and form new adhesions.

3. Fallopian tube root resection

With the development of medical technology, the emergence of assisted reproductive technology has provided more and more patients with the opportunity to treat infertility. Infertility due to fallopian tube factors is also an indication for assisted reproduction.

If only routine ostomy and adhesion lysis are performed, the hydrops may recur quickly, which will be toxic to the embryo, affect the intrauterine environment, and also affect the development of the endometrium, further affecting the formation and implantation of the embryo and reducing the pregnancy rate.

Therefore, patients with hydrosalpinx are most suitable to choose tubal root ligation to completely prevent hydrosalpinx from entering the uterine cavity, and then undergo assisted reproduction. Since the uterus is not damaged, assisted reproductive treatment can be received soon after the operation.

However, natural pregnancy is almost impossible with a tubal ligation, so the procedure should only be performed with the patient's fully informed consent.