Efficacy of surgical treatment for successful pregnancy in infertile patients with hydrosalpinx.

Bae, Ju Youn; Koo, Hwa Seon; Hwang, Yu Im; Park, Chan Woo; Cha, Sun Hwa; Yang, Kwang Moon

doi:2012.55.12.929

Original Article

Korean Journal of Obstetrics & Gynecology 2012;55(12):929-934.
DOI: https://doi.org/10.5468/KJOG.2012.55.12.929 Published online December 18, 2012.

Efficacy of surgical treatment for successful pregnancy in infertile patients with hydrosalpinx.

Ju Youn Bae, Hwa Seon Koo, Yu Im Hwang, Chan Woo Park, Sun Hwa Cha, Kwang Moon Yang

Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. km1yang@naver.com

Abstract

OBJECTIVE
The aim of this study is to evaluate the efficacy of surgical treatment in patients with hydrosalpinx on the success of the pregnancy. METHODS: We retrospectively analyzed the medical records of 65 patients who were diagnosed to hydrosalpinx by hysterosalpingogram. Among 65 patients who diagnosed to hydrosalpinx, 38 patients were received surgical treatment (surgical treatment group). Otherwise, 27 patients didn't received any surgical treatment and classified as no treatment group. After then, surgical treatment group was subgrouped into two groups according to their method of surgery such as salpingoneostomy group (n = 29) and salpingectomy group (n = 9). Then we analyzed several factors related to pregnancy of each group. RESULTS: There were no statistically significant differences in age, duration of infertility, fertility history and causes of infertility between groups. The in vitro fertilization (IVF) success rate in salpingectomy group (77.8%) was significantly higher than that of no treatment group (34.8%) (p=0.035). CONCLUSION: In infertile patients with hydrosalpinx, surgical treatment of hydrosalpinx seems to have beneficial effects to increase the success rate of pregnancy through IVF.

Key Words: Infertility, Salpingoneostomy, Salpingectomy, Pregnancy rate, In vitro fertilization