Hydropexy

Hydropexy refers to the abnormal accumulation of fluid within the fallopian tubes, leading to swelling and potential blockage. This condition is often associated with pelvic inflammatory disease (PID), endometriosis, or previous pelvic surgeries, which can cause scarring and obstruction. The fluid buildup may result from infection, inflammation, or impaired drainage, contributing to symptoms such as pelvic pain, pressure, or infertility.

Diagnosis typically involves imaging techniques like transvaginal ultrasound, hysterosalpingography (HSG), or laparoscopy. Ultrasound may reveal dilated fallopian tubes filled with fluid, while HSG involves injecting contrast dye to visualize tube patency. Laparoscopy allows direct visualization and confirmation of fluid accumulation.

Treatment depends on the underlying cause and severity. Mild cases may resolve with antibiotic therapy if infection is present. More severe cases may require surgical intervention, such as laparoscopy or laparotomy, to drain the fluid and remove scar tissue. Infertility caused by hydropexy may necessitate assisted reproductive technologies (ART) like in vitro fertilization (IVF).

Complications can include chronic pelvic pain, ectopic pregnancy due to tube blockage, or recurrent infections. Prevention focuses on managing underlying conditions, such as treating sexually transmitted infections promptly and avoiding unnecessary pelvic surgeries. Early diagnosis and treatment improve outcomes and reduce long-term complications.