Discussion
Our study demonstrates that in subfertile women with confirmed bilateral
severe hydrosalpinges, salpingectomy compared to neosalpingostomy
resulted in higher cumulative livebirth rate, shorter time to first live
birth and lower risk of EP, when also the result of additional IVF in
both groups are taken into account. There were no natural conceptions
after salpingectomy, while neosalpingostomy resulted in a 20.7% (12/58)
cumulative natural conception rates leading to live birth without any
additional surgical interventions. This may be relevant for women in the
higher age group, since IVF is not always an option. In the age group
between 34 and 45 years we could not find statistically significant
differences between two groups. However, our sample size for this
subgroup may not have been sufficient. Future studies are needed to
confirm this.