HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Siassakos, D. Articles by Wardle, P. PubMed Articles by Siassakos, D. Articles by Wardle, P.

Tubal disease and assisted reproduction

^1. Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK Email: jsiasakos{at}hotmail.com (corresponding author)
^2. Southmead Hospital, Bristol, UK
^3. Southmead Hospital, Bristol, UK

Key content:

• Surgery can be useful in selected cases of tubal infertility and may have a complementary role for some women undergoing in vitro fertilisation (IVF).
  
• Salpingectomy for women with large hydrosalpinges can improve the success rate of IVF.
  
• There is little evidence that laparoscopy offers any advantage over laparotomy for tubal surgery.
  
• Structured training in reproductive surgical techniques is of critical importance.
  

Learning objectives:

• To understand the selection criteria for tubal surgery and evaluate the supporting evidence.
  
• To understand the limitations of the existing evidence.
  
• To be able to counsel infertile couples appropriately.
  

Ethical issues:

• Couples seeking fertility treatment may receive unreliable or biased information when considering tubal surgery.
  
• Is it ethical to perform tubal surgery on women with a low chance of success simply because they are unable to have IVF?
  

Please cite this article as: Siassakos D, Syed A, Wardle P. Tubal disease and assisted reproduction. The Obstetrician & Gynaecologist 2008;10:80–87.

Keywords in vitro fertilisation / hydrosalpinges / salpingectomy / tubal surgery