Comparative Study between Laparoscopic Tubal Disconnection and Ultrasound Guided Tubal Aspiration in the Management of Hydrosalpinx Prior to ICSI | ||||
| The Egyptian Journal of Fertility of Sterility | ||||
| Article 11, Volume 21, Issue 1, January 2017, Page 30-35 PDF (2.2 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2017.19523 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Mohamed Hamza | ||||
| Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo | ||||
| Abstract | ||||
| Objective: To compare the efficacy of ultrasound-guided aspiration with laparoscopic proximal tubal occlusion in the management of hydrosalpinx prior to ICSI. Patients and Methods: This clinical trial included 40 candidates for ICSI suffering from hydrosalpinx. Patients were randomly divided into one of two groups for hydrosalpinx management; GroupLD(n=20) bylaparo-scopicproximaltubal disconnection and GroupAS(n=20), byvaginalultra-soundgui dedaspirati on onthesettingoftheoocyteretrievalfortheICSIcycle. The primary and secondary outcome measures were clinical and chemical pregnancy rates, respectively. Results: The two groups were comparable regarding basic clinical char-acteristics and results of ovarian stimulation and oocyte retrieval. The proportions of clinical pregnancies and chemical pregnancies were com-parable in the two groups (p = 0.342 and 0.525, respectively). Eleven preg-nancies were diagnosed chemically in laparoscopic disconnection group compared to 8 in aspiration group. In laparoscopic disconnection group one pregnancy failed to continue clinically. Conclusion: Aspiration of hydrosalpingeal fluid at the time of oocyte re-trieval is as effective as laparoscopic disconnection of the fallopian tube in terms of clinical pregnancy rate after ICSI cycles. | ||||
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