7344 Effect of Unilateral Hydrosalpinx on Chances of Spontaneous Conception

Abstract

<h3>Study Objective</h3> The aim of the study is to present a successful surgical management of a case of unilateral hydrosalpinx resulting after cesarean delivery that appeared to have interfered with spontaneous conception from a healthy patent contralateral fallopian tube. <h3>Design</h3> Case report with 6-month post-operative follow-up. <h3>Setting</h3> Operative laparoscopy was done in a teaching hospital operation room with the patient in dorsal lithotomy position. <h3>Patients or Participants</h3> 30 years- old female with a history of primary cesarean section which was complicated by postoperative infection. She presented with a history of secondary infertility of 5 years duration and was found to have a right hydrosalpinx and a patent left fallopian tube on hysterosalpingogram. <h3>Interventions</h3> Minimally invasive preservation of the left fallopian tube was done by performing neosalpingostomy instead of salpingectomy. <h3>Measurements and Main Results</h3> The patient conceived spontaneously after two <i>months,</i> and she is currently at 14 weeks gestation. <h3>Conclusion</h3> Minimally invasive neosalpingostomy in selected patients with unilateral hydrosalpinx can increase the chances of spontaneous pregnancy by eliminating the unfavorable effect of the hydrosalpinx.