Laparoscopic Management of an Androgen Insensitivity Syndrome: A Case Report

Study Objective: The purpose of this study was to evaluate the efficacy of laparoscopic salpingostomy in infertile women with hydrosalpinx. Design: Retrospective analysis from January 1999 to December 2005. Setting: University Teaching Hospital. Patients: Eighty one infertile patients with hydrosalpinx. Intervention: Laparoscopic salpingostomy. Measurements andMainResults:Themean age of the patientswas 29.8 4.5 years and mean number of abortion and term delivery were 1.0 1.6 and 0.2 0.5, respectively. The average duration of infertility in these patients was 35.3 28.8 months. The mean operating time was 63.1 21.9 minutes and the duration of admission was 3.6 1.3 days. The tubal patency was confirmed in 79 patients (97.5%) during the surgery and in 74 patients (91.4%) by hysterosalpingogram after two menstrual cycles. Following laparoscopic surgical treatment, a total of 19 patients (23.5%) achieved intrauterine pregnancies andmostof them(84.2%)wereachieved in18months after surgery. Conclusion: The pregnancy rate was relatively low compared with tubal patency after laparoscopic salpingostomy.