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Objective: To compare the efficacy of ultrasound-guided aspiration with laparoscopic proximal tubal occlusion in the management of hydrosalpinx prior to ICSI.Patients and Methods: This clinical trial included 40 candidates for ICSI suffering from hydrosalpinx. Patients were randomly divided into one of two groups for hydrosalpinx management; GroupLD(n=20) bylaparo-scopicproximaltubal disconnection and GroupAS(n=20), byvaginalultra-soundgui dedaspirati on onthesettingoftheoocyteretrievalfortheICSIcycle. The primary and secondary outcome measures were clinical and chemical pregnancy rates, respectively.Results: The two groups were comparable regarding basic clinical char-acteristics and results of ovarian stimulation and oocyte retrieval. The proportions of clinical pregnancies and chemical pregnancies were com-parable in the two groups (p = 0.342 and 0.525, respectively). Eleven preg-nancies were diagnosed chemically in laparoscopic disconnection group compared to 8 in aspiration group. In laparoscopic disconnection group one pregnancy failed to continue clinically.Conclusion: Aspiration of hydrosalpingeal fluid at the time of oocyte re-trieval is as effective as laparoscopic disconnection of the fallopian tube in terms of clinical pregnancy rate after ICSI cycles.

Comparative Study between Laparoscopic Tubal Disconnection and Ultrasound Guided Tubal Aspiration in the Management of Hydrosalpinx Prior to ICSI