Finally, the patient received the surgery of laparoscopic lysis of pelvic adhesions, hydrotubation
, hysteroscopic resection of uterine septate, and resection of vaginal septate.
The affected fallopian tube was treated with the conventional hydrotubation
, so as to eliminate the inflammation and avoid the re-adhesion.
Tubal patency was then assessed by hydrotubation through a canula introduced into the uterine cavity.
This goes from observation to laparotomy, gaseous insufflation, hydrotubation, microsurgery and more recently laparoscopic surgery (18).
Surgery always has the possibility of adhesions (where one structure sticks to another, Hydrotubation is the only non--surgical method that was popular.
This finding is in line with the findings of George et al, Elizur & Tulandi, Adesiyun et al, Ben et al, ESHRE and deMouzon et al all of who asserted that taking multivitamins, fertility drugs, hormonal therapy, hydrotubation, myomectomy and in vitro fertilization (IVF) as the solutions to infertility respectively (16,17,18,20,21,22).
Finding a normal cavity and bilateral fill and spill of contrast is reassuring, but where there is doubt hysterosalpingography or a laparoscopy and dye hydrotubation
test should be done (Course notes 2009).
Expectant management and hydrotubation
in the treatment of endometriosis associated infertility.
In 1988 Davison & Leeton (3) created an artificial pelvic ascites by infusing Hartmann"s solution into the peritoneal cavity of an infertile patient & this was supplemented with hydrotubation under vaginal sonography.
Mitri F F, Andronikov A D Peripinyal S, Hofmeyr GJ, Sonnedecker W W; A clinical comparison of sonographic hydrotubation and hysterosalpingography, British Journal of Obstetrics & Gynaecology, vol 98, 1031-1036, 1991.
Adelusi B et al Accuracy of hysterosalpingography and laproscopic hydrotubation
in diagnosis of tubal patency.