Comparison of ICSI Outcomes in Patients with Hydrosalpinx Pretreated with Either Laparoscopic Tubal Disconnection or Hysteroscopic Tubal Occlusion

Elgarhy, Ismael Mohammed; Rammah, Ahmed Mohammed; Bakry, Mohammed Mohammed Saber

doi:10.21608/ejhm.2019.29714

Comparison of ICSI Outcomes in Patients with Hydrosalpinx Pretreated with Either Laparoscopic Tubal Disconnection or Hysteroscopic Tubal Occlusion

Document Type : Original Article

Authors

¹ Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo

² International Islamic Center for Population Studies and Research, Al-Azhar University, Cairo

³ Department of Obstetrics and Gynecology, Shebein Elkom Teaching Hospital

10.21608/ejhm.2019.29714

Abstract

The aim of the study was to compare the efficacy of hysteroscopic tubal electrocoagulation versus laparoscopic tubal disconnection for management of hydrosalpinx related infertility among patients undergoing ICSI. The sample of the study was 100 patients. Half of the patients underwent hysteroscopic tubal electocoagulation who have laparoscopic contraindications, while the other half underwent laparoscopic tubal disconnection. After tubal occlusion was done, an ICSI cycle was startedwith assessment of chemical pregnancy rate. The rate of positive chemical pregnancy was 50 % in hysteroscopic group and 58% in laparoscopic group, so hysteroscopic tubal electrocoagulation was found to be a successful treatment for hydrosalpinges before ICSI when laparoscopy is contraindicated with chemical pregnancy rate comparable to laparoscopic tubal disconnection.

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