Intra-operative hydrotubation improves fertility of women with distal tubal occlusion after reproductive surgery.

Abstract:

PURPOSE:Hydrotubation has been considered to be a complimentary procedure to reproductive surgery, usually being conducted after surgery. The objective of this work was to assess the potential value of intra-operative hydrotubation in improving fertility of tubal infertile women. METHODS:180 tubal infertile women were randomly assigned to one of the three groups: intra-operative hydrotubation (IH), post-operative hydrotubation (PH) or control group. In IH group, the hydrotubation was performed immediately after adhesiolysis during the surgery process, while in PH group it was performed within 3-7 days after the first post-operative menstruation. The incidence of post-operative pelvic infection and average hospitalization length were recorded. The post-operative pregnancy outcomes, including intrauterine pregnancy (IUP) rate and incidence of ectopic pregnancy, were recorded at 2 years follow-up. RESULTS:No significant difference was found among the three groups, either in the incidence of pelvic infection (P = 0.877) or in the average hospitalization length (P = 0.596). At 2 years of follow-up, the rate of IUP in IH group was significantly higher than that in either PH or control group (P = 0.017 and 0.039, respectively), but no difference was observed between PH and control group (P = 0.752). No significant difference in the incidence of ectopic pregnancy was showed among three groups (P = 0.947). CONCLUSIONS:The appropriate use of intra-operative hydrotubation can improve the post-operative IUP rate, serving as a complementary procedure for the surgical treatment of fertility reversal.

journal_name

Arch Gynecol Obstet

authors

Zhengyu L,Jin L,Wenjiao M,Dan Z,Xiao Y,Ying S

doi

10.1007/s00404-012-2525-x

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

83-9

issue

1

eissn

0932-0067

issn

1432-0711

journal_volume

287

pub_type

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