Ultrasound guided aspiration of hydrosalpinx fluid versus salpingectomy in the management of patients with ultrasound visible hydrosalpinx undergoing IVF-ET: a randomized controlled trial

BMC Women's Health
Usama M FoudaKhaled A Elsetohy

Abstract

The aim of this study was to compare the efficacy of ultrasound guided aspiration of hydrosalpinx fluid at the time of oocyte retrieval with salpingectomy in the management of patients with ultrasound visible hydrosalpinx undergoing IVF-ET. One hundred and sixty patients with ultrasound visible hydrosalpinx were randomized into salpingectomy group and aspiration group using computer generated randomization list and sequentially numbered sealed envelopes containing allocation information written on a card. The clinical pregnancy rate per started cycle and the implantation rate were non- significantly higher in the salpingectomy group compared with the aspiration group [40% vs. 27.5% (p value = 0.132) and 18.95% vs. 12.82% (p value =0.124), respectively]. In the aspiration group, 34.21% of patients had rapid re-accumulation of the hydrosalpinx fluid (i.e. within first two weeks after embryo transfer). Whereas, the clinical pregnancy rate per transfer cycle and the implantation rate were significantly higher in salpingectomy group compared with the subgroup of patients with rapid re-accumulation of hydrosalpinx fluid [42.67% vs. 19.23% (p value = 0.036) and 18.95% vs. 7.58% (p value = 0.032), respectively], no significant differen...Continue Reading

Associated Clinical Trials

References

Jun 1, 1991·Journal of in Vitro Fertilization and Embryo Transfer : IVF·R T MansourR Riad
Aug 1, 1994·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M KassabjiS J Muasher
Oct 1, 1996·Human Reproduction·A N AndersenC Y Andersen
Jul 1, 1997·Human Reproduction·W R MeyerB A Lessey
Dec 5, 2003·Journal of Vascular and Interventional Radiology : JVIR·Toshiya ShibataMasahiro Hiraoka
Aug 3, 2010·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Usama M Fouda, Ahmed M Sayed
Jan 25, 2013·Clinical and Experimental Reproductive Medicine·Eun Duc NaMi Kyoung Kim
Apr 9, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Roberto MatorrasAntonia Exposito
May 11, 2013·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Fernando Macías-GarcíaJ Enrique Domínguez-Muñoz
Jan 8, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·P AroraD Cahill

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Citations

Oct 30, 2015·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Juan Lorente GonzálezJosé Eduardo Arjona Berral
Mar 1, 2016·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A TsiamiA Sotiriadis
Jul 31, 2018·The Journal of Obstetrics and Gynaecology Research·Mohamed I M AmerDalal A Hassan
Dec 18, 2019·Human Reproduction Open·UNKNOWN ESHRE Working Group on Ultrasound in ARTVeljko Vlaisavljevic
Nov 18, 2016·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M W BarbosaW P Martins
Oct 23, 2020·The Cochrane Database of Systematic Reviews·Pedro MeloIngrid E Granne
Aug 28, 2020·Journal of Minimally Invasive Gynecology·Perrine CapmasTogas Tulandi

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Methods Mentioned

BETA
pregnancy test
fluid collection

Software Mentioned

Essure

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