Prognostic, diagnostic and therapeutic value of hysterosalpingography after salpingostomy in patients with hydrosalpinx

Abstract

Objective: There are few studies which assess the therapeutic role of salpingostomy and HSG in patients with hydrosalpinx regarding rates and outcomes of pregnancy. So, aim of the present report is to assess therapeutic effects of salpingostomy and diagnostic and therapeutic effects of HSG after salpingostomy in patients with hydrosaplinx.Patients and Methods: We assessed clinical findings of 60 patients diagnosed with hydrosalpinx and underwent HSG before and after performing laparoscopic salpingostomyResults: There is statistically significant relation between improvement of oviduct and pregnancy time ( (p-0.007). Rates of spontaneous pregnancies were 46.88% in the improvement group, versus 13.33% in the non- improvement group. Rates of pregnancy in both groups were statistically significant (p=0.028). Average time to pregnancy in the improvement group was 13 (11–15) months and in the non-improvement group was 16 (14-18) months.Conclusions: Performing HSG after laparoscopic salpingostomy might be a good choice for treatment of infertile patients diagnosed with hydrosalpinx.