WOMENS-HEALTH Messages for August, 1999: Re: Hydrosalpinx Tube and Tubal Reversal

Re: Hydrosalpinx Tube and Tubal Reversal

From: William D. McIntosh, MD (anonymous@obgyn.net)
Fri, 13 Aug 1999 16:47:30 -0500 (CDT)

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Reply: Susan: "Re: Hydrosalpinx Tube and Tubal Reversal"

At Fri, 13 Aug 1999, Susan wrote: >
>Question for a doctor - I had a laparoscopy last week to determine the
>nature of a "pelvic mass". It turns out it was a very large
>hydrosalpinx of the left tube.
>
>Background - I had a tubal ligation 7 years ago.
>
>At last weeks surgery my doctor found left hydrosalpinx plus clubbed end
>of tube - right tube also clubbed. Ovaries okay, uterus okay - no
>adhesions or endo.
>
>Two questions:
>
>1 - I am having intermittant pain on my left side and wonder if the
>hydro could come back this fast or is it just because the tube was
>drained and is still healing?
>
>Incidentally - this doc did not take out the left tube because if an RE
>can perform a reversal and repair - it appears to be the better of the
>two tubes in terms of where it was cut.
>
>2 - Can an RE repair such damaged tubes? I guess that's a loaded
>question but I assume some of you doctors have run across this scenario
>before?
>
>I have an appt. with an RE next month and am really hoping for some
>success with tubes rather than IVF.
>
>Oh yes - I turned 40 3 months ago.
>
>Thank you in advance for your professional input.

1. You are still in the healing phase of your post surgical time, and the pain you feel would be expected.

2. This is a loaded question. I am sure that someone could take a stab at repairing the tube, but the data is clear on this issue. Your best chance for pregnancy in this situation is going to be IVF. It may not be what you want, but that is the best chance for success.

-- William D. McIntosh, MD, FACOG Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: Patti Tessler, FNP: "Re: 2 days menses..am I pregnant or miscarried?"
Previous message: anonymous@obgyn.net: "Secret Software"
In reply to: Susan: "Hydrosalpinx Tube and Tubal Reversal"
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Reply: Susan: "Re: Hydrosalpinx Tube and Tubal Reversal"

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