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Dear Dr.,
After my laparoscopic surgery for a right hydrosalpinx, my RE told me that he saw absolutely no adhesions anywhere in my pelivs, including on the tube that was a hydro (left tube looked normal and patent). The end of the hydro tube was simply folded over onto itself and closed. My question is, could my hydro have been due to a congenital problem with that tube? Also, is there ever a situation where you would recommend a salpingostomy rather than a salpingectomy?
Thank you.
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I have not seen a congenital problem like you described. If the lining of the tube is damaged, you need IVF. If you no longer have a hydrosalpynx, you probably will not need further surgery on your tubes. You should be aware that if there is damage to the lining of your tubes, you are at risk for a tubal pregnancy.
Good luck.
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