Preliminary results of tubal surgery with pregnancy outcome

Abstract

Purpose of investigation: To assess the preliminary results of tubal surgery and its effect on pregnancy outcome. Materials and Methods: The study included 440 patients with unilateral or bilateral tubal disease as the only cause of the infertility. All patients undergoing a laparoscopy for infertility were studied in reproductive surgery centre. The fallopian tube was classified into class I-IV. The studied outcomes were live birth, ectopic pregnancy, and miscarriage. After 12 months, cumulative conception rate was calculated. Results: In the 440 patients, 172 patients with mild salpinx abnormality (class I) had a 34% cumulative pregnancy rate, 151 patients with moderate salpinx abnormality (class II) had a 16% cumulative pregnancy rate, and 77 patients with severe salpinx abnormality (class III) had a 10% cumulative pregnancy rate. No intrauterine pregnancies were observed in the severe group of 40 patients (class IV). Conclusion: Surgical laparoscopy is helpful for class I and II tubal abnormality, while it is not for class III and IV abnormalities.