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Journal of Assisted Reproduction and Genetics

Published in:

01-06-2006 | Original Paper

Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Authors: Aykut Bayrak, Djana Harp, Peyman Saadat, Eliran Mor, Richard J. Paulson

Published in: Journal of Assisted Reproduction and Genetics | Issue 6/2006

Abstract

Purpose: The purpose of this study was to determine the recurrence rate of hydrosalpinges after cuff neosalpingostomy in poor prognosis candidates.

Methods: Forty consecutive patients with hydrosalpinx treated with cuff neosalpingostomy were included. Main outcome measures were recurrence rate of hydrosalpinx after cuff neosalpingostomy, intrauterine and ectopic pregnancy rates.

Results: Intraoperatively, the mean size of the hydrosalpinx was 1.9±0.7 cm, and 77% of patients had evidence of pelvic adhesions. Recurrence of hydrosalpinx, whether unilateral or bilateral was 70% (28/40) per patient. Intrauterine and ectopic pregnancy rates were 5% (2/40) and 2.5% (1/40), with a total pregnancy rate of 7.5% (3/40).

Conclusions: Most patients experience recurrence of hydrosalpinx after cuff neosalpingostomy, thus requiring additional surgery such as salpingectomy prior to in vitro fertilization (IVF). In a poor prognosis population, salpingectomy should be considered as the primary treatment for hydrosalpinx prior to IVF.

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Title: Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population
Authors: Aykut Bayrak
Djana Harp
Peyman Saadat
Eliran Mor
Richard J. Paulson
Publication date: 01-06-2006
Publisher: Springer US
Published in: Journal of Assisted Reproduction and Genetics / Issue 6/2006
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI: https://doi.org/10.1007/s10815-006-9050-4

At a glance: The STEP trials

Springer Medicine

Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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