Hydrosalpinx Sclerotherapy
CANSAGE ePoster Library. Gil Y. 09/26/19; 275257; eP-124
Dr. Yaron Gil
Dr. Yaron Gil
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Objective:Report a case of a successful treatment of hydrosalpinx with sclerotherapy, as part of an ongoing prospective trial in our institute.Method:Case Report (Canadian Task Force Classification III).Results:A 29-year-old female scheduled to undergo fertility treatments with in vitro fertilization (IVF) was found to have a left hydrosalpinx. The negative influence of hydrosalpinx on IVF success rate has been known for many years now, and it has been repeatedly shown that elimination of the hydrosalpinx will improve the pregnancy rate. It has also been previously shown that sclerotherapy in patients with hydrosalpinx can improve IVF success rates . The patient was offered this particular treatment and was consented. The initial ultrasound scan demonstrated a 3.8 x 2.5 x 2.0 cm tortuous tubular shape structure suggesting hydrosalpinx (Fig. 1). The process itself was performed on an outpatient basis and the patient was asked to take 400mg Ibuprofen one hour before the procedure. The approach was trans-vaginaly performed under ultrasound guidance without anesthesia or sedation. The hydrosalpinx fluid was first aspirated using a 19G needle, yielding 10 ml of dark brown coloured fluid. Subsequently, 98% ethanol equal to 1/2 volume of aspirated fluid was administered into the tube, retained in the tube for 10 minutes and then removed. Patient went home after an hour and the procedure was well tolerated. Follow up ultrasound after 12 days demonstrated absence of hydrosalpinx (Fig. 2).Conclusion:Sclerotherapy is an effective method for treating hydrosalpinx, it should always be considered and presented to our patients as part of the treatment options.
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