Patient's question:
Bilateral tubal hydrops, left fallopian tube obstruction, right fallopian tube patency but not unobstructed, normal uterine cavity shape and size—what to do? On June 13th, routine disinfection and drape placement, cervical catheter insertion, slow and appropriate amount of iodine oil injection under fluoroscopy. The uterus showed normal shape and size, with sequential visualization of both fallopian tubes. The ampulla had uneven lumen and rough walls, with a dilated distal end. A small amount of iodine oil leakage into the pelvic cavity was observed on the right side. A follow-up after 24 hours showed non-uniform pelvic iodine oil distribution and irregular aggregation of iodine oil in the left adnexal area. Results: Tubal hydrops, left fallopian tube obstruction, right fallopian tube patency but not unobstructed, normal uterine cavity shape and size—what to do?Doctor's answer:
The treatment for fallopian tube hydrops is fimbrial ostomy of the fallopian tube. A cross-shaped or plus-shaped incision is made at the thinnest part of the dilated end of the closed fimbria using a fine fiber electric scalpel or microscopic dissection knife. Then, a No. 6 blunt needle or fine silicone tube is inserted through the incision and physiological saline is slowly injected. Further examination is conducted to confirm the patency of the entire fallopian tube, with the injection method similar to that of fallopian tube anastomosis. Generally, no stent is retained, and early irrigation is recommended postoperatively.