Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Please advise on whether it's necessary to have a thorough examination of the fallopian tubes for hydrosalpinx.Doctor's answer:
The treatment for fallopian tube hydrosalpinx is fimbrial ostomy of the fallopian tube. A cross-shaped or plus-shaped incision is made on the thin area of the expanded part of the self-locking end of the fallopian tube fimbria using a fine fiber electrocautery or microscopic dissection knife. Then, a No. 6 blunt needle or fine silicone tube is inserted through the incision and physiological saline is slowly infused. Further careful examination is conducted to confirm the patency of the entire fallopian tube, with the infusion method being the same as that for fallopian tube anastomosis. The incised mucosal flap is everted, and the everted fimbria is sutured in a "petal-like" shape using 7-0 nylon thread. Due to the larger lumen, a stent is generally not needed, and early irrigation is recommended postoperatively. Fallopian tube hydrosalpinx is a gynecological disease that is prone to occur.