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Fallopian Tubes and Surgery
From the Separate Surgeries Articles List
What type of conditions could cause me to need surgery involving my fallopian tubes?
There are several conditions, including infections, disease, and cancer that could require fallopian tube surgery for treatment—many of these reasons are listed below. If you are concerned about any of the following conditions, be sure to contact your doctor
Blocked Fallopian Tubes
Blockage of the fallopian tube(s) can result from pelvic infection, sexually transmitted
disease, ectopic pregnancy, birth defects, endometriosis
, prior surgery, or scar tissue. Besides affecting fertility, blocked fallopian tubes can lead to abdominal or pelvic pain
and vaginal discharge. This condition often requires surgery.
is a blocked and fluid-filled fallopian tube. It can be caused by infection, sexually transmitted diseases, prior surgeries, adhesions
, endometriosis, or a ruptured appendix. A salpingostomy (procedure to open a blocked tube) may be done, but salpingectomy
(removal of the tube) is more often recommended as a permanent solution.
Hematosalpinx (a fallopian tube filled with blood) may also require surgical intervention. This condition may occur as the result of a tubal or ectopic pregnancy, endometriosis, tubal carcinoma, pelvic inflammatory disease (PID)
, fallopian tube torsion, pelvic trauma, or retrograde menstruation.
Pyosalpinx (a tube filled with pus). This condition typically occurs as a result of pelvic inflammatory disease (PID) but may also be the result of other infections.
Following an endometrial ablation
to treat various uterine conditions, pregnancy can be dangerous. As a preventative measure, some doctors recommend some type of permanent birth control through surgery involving the fallopian tubes. These can include tubal ligation, salpingectomy, or Essure.
Risk for Ovarian Cancer
Studies have indicated that ovarian cancer may begin within the fallopian tubes
, so women who are at greater risk for ovarian cancer may choose to prophylactically remove both fallopian tubes either separately or along with removal of the ovaries (oophorectomy
). In addition, some doctors recommend any women having a hysterectomy have her fallopian tubes removed because of the possible link to ovarian cancer.
Fallopian Tube Prolapse
Following a complete hysterectomy, a fallopian tube may prolapse
into the healing vaginal cuff
or through a vaginal fistula
. Depending on symptoms and the extent of the prolapse, this painful condition may require surgical treatment. At times, only the exposed tube needs to be removed, but in other cases the entire tube may need to be removed along with any adhesions
Surgery involving the fallopian tubes is most often done during a minimally invasive surgery
such as a laparoscopy
. However, extensive adhesions or a cancer concern could necessitate a laparotomy
and larger incision. Fallopian tube surgery may be done before or after a hysterectomy, and along with or separately from a hysterectomy or oophorectomy. As with any surgery, seeking a second opinion
before going into the operating room is highly recommended.
This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.
07-24-2014 - 10:06 PM
SHARING IS CARING
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