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Dan C. Martin, MD
UT Medical Group, Inc.

University of Tennessee Health Science Center (UTHSC)

UTHSC Academic Office

Daniel Clyde Martin, M.D.
UT Medical Group, Inc.
Infertility and Gynecology
Reproductive Surgery
Germantown Office Building
7945 Wolf River Boulevard
Suite 320
Germantown, Tennessee
TN 38138-1733

(901) 347-8331
(901) 347-8188 fax
Directions to Office

Updated information is at
UTMG 2006

Click for information on:
Glenn Ann Martin, Ph.D.
Clinical Psychologist

 

Stages of Tubal Damage
with Hydrosalpinges

Tubal Hydrosalpinx Stages of Damage Cornual Occlusion Cornual Paper

Other Reproductive Surgery Pages:     Tubal Reversal         Adhesions         Endometriosis   

Success in opening tube or tubes blocked at the fingered end (hydrosalpinx or hydrosalpinges) depends on the stage of tubal damage and on other infertility factors.  The stage (mild, moderate, severe) is determined  by the health of the inside of the tube (folds and cilia) and amount of pelvic scarring.  The folds and cilia are the active system that sweeps the egg to the uterus.  We can see the folds, but the cilia are microscopic.

 Your ALT-Text here A hydrosalpinx with mild damage is associated with few filmy adhesions, good folds and no internal scar.  60% of women can expect to have babies while 3% will have tubal pregnancies.  Surgery is better than IVF.

 

 Your ALT-Text here Moderate damage is associated with more filmy adhesions, few folds and no internal scar.  20% of women can expect to have babies while 15% will have tubal pregnancies.  IVF is usually better than surgery.  Removing the tube or tubes is reasonable.

 

 Your ALT-Text here Severe damage is associated with dense adhesions, rare folds and increased internal scar.  3% of women can expect to have babies while 15% will have tubal pregnancies.  When both tubes are hydrosalpinges with severe damage, IVF is better than surgery and may be the only reasonable option.  Removing the tubes is often helpful especially with lateral pelvic pain and tenderness.

 

The folds can often be seen on an HSG (hysterosalpingogram).  The folds are seen as alternating dark and white lines inside the tube and run in the same direction as the tube.   The folds are the part of the tube that have cilia that sweep the egg to the uterus.  If there are no folds and no cilia, the egg has no system to move it on.  When folds are seen, the tubes are more healthy than when folds are not seen.  Seeing folds can be seen with healthy tubes, mild damage or moderate damage.

 

When the folds are gone, the tube will have no inner lines on an HSG.  This creates a flat balloon-like appearance.  This balloon appearance suggests moderate or severe damage to the folds.

 

 

 

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