Patient's question:
After the catheterization surgery, the first two days I had a little pain on the left side, which went away after a short while. The next two days, it was the right side, with the same pain as the left. Today is the 8th day, and last night I had pain in the lower abdomen, which lasted for about a minute and then went away.Doctor's answer:
Hello: Hydrosalpinx is formed due to obstruction at the fimbriae of the fallopian tube, and this obstruction is caused by pathogenic infection leading to fallopian tube inflammation. Due to bacterial infection, leukocyte infiltration causes endometrial swelling, interstitial edema, exudation, and shedding of the fallopian tube mucosal epithelium. Additionally, due to the proliferation of surrounding fibrous tissue and the organization of granulation tissue, the mucosa may become adhered or the fimbriae may adhere, leading to fallopian tube blockage. When the fimbriae are adhered, it forms fimbrial obstruction. Hydrosalpinx is caused by inflammation, and during the acute phase of inflammation, there may be local symptoms such as congestion, swelling, redness, heat, and pain. The patient may experience discomfort in the lower abdomen, though some may not feel anything. After the inflammation subsides, the patient will no longer feel any symptoms.Tuberculous inflammation is a specific type of inflammation that can also cause hydrosalpinx. Tuberculosis most commonly affects the lungs, causing local symptoms like coughing, sputum production, and hemoptysis, as well as systemic symptoms such as prolonged low-grade fever, fatigue, weakness, loss of appetite, and weight loss. When tubercle bacilli enter the bloodstream, they can spread hematogenously to the peritoneum, small intestine, pelvis, uterus, fallopian tubes, and bladder, causing inflammation. Tuberculous inflammation leads to adhesion and obstruction of the fallopian tube fimbriae, damaging their function and causing infertility. Therefore, the procedure after hydrotubation will not be painful.