No correlation between peritubal and mucosal adhesions in hydrosalpinges.

OBJECTIVE

To correlate the presence and extent of peritubal and mucosal adhesions in hydrosalpinges.

DESIGN

Comparative study.

SETTING

Tertiary centers with experience in tubal microsurgery.

PATIENTS: Infertile women with complete distal tubal block.

INTERVENTION: Salpingoneostomy.

MAIN OUTCOME MEASURE: Presence and extent of adhesions.

RESULTS

Peritubal adhesions occur more frequently than mucosal adhesions in hydrosalpinges. Of 7 hydrosalpinges without peritubal adhesions, 1 showed mucosal adhesions but of 83 hydrosalpinges with peritubal adhesions, 31 (37%) showed no mucosal adhesions.

CONCLUSION

Accurate endoscopic assessment of the ampullary mucosa is recommended in hydrosalpinx to select the appropriate patient for surgery.