Evidence map›Paper›PMID 42877553›Full record

ArticleObstetrics and gynecology international2026

The Prevalence of Histologically Confirmed Endometriosis in Salpingectomy Specimens for Hydrosalpinx and Subsequent Reproductive Outcomes.

Fatemeh Davari-Tanha, Sara Mehri, Raziye Akbari, Fatemeh Salehi, Razieh Mohammadkhani, Zeinab Sinaeifar, Arezu Mahin Behzadi

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Article in Obstetrics and gynecology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Fatemeh Davari-TanhaDepartment of Obstetrics and Gynecology Yas Hospital Tehran University of Medical Sciences Tehran Iran tums.ac.ir.ORCID https://orcid.org/0000-0003-3834-2420
Sara MehriDepartment of Obstetrics and Gynecology Imam Khomeini Hospital Tehran University of Medical Sciences Tehran Iran tums.ac.ir.ORCID https://orcid.org/0009-0000-8351-6392
Raziye AkbariDepartment of Obstetrics and Gynecology Imam Khomeini Hospital Tehran University of Medical Sciences Tehran Iran tums.ac.ir.ORCID https://orcid.org/0000-0001-9837-9626
Fatemeh SalehiDepartment of Minimally Invasive Surgery Tehran University of Medical Sciences Tehran Iran tums.ac.ir.ORCID https://orcid.org/0000-0003-2646-5968
Razieh MohammadkhaniDepartment of Obstetrics and Gynecology Yas Hospital Tehran University of Medical Sciences Tehran Iran tums.ac.ir.
Zeinab SinaeifarMaternal Fetal and Neonatal Research Center Family Health Institute Tehran University of Medical Sciences Tehran Iran tums.ac.ir.ORCID https://orcid.org/0000-0002-9982-8363
Arezu Mahin BehzadiDepartment of Obstetrics and Gynecology Yas Hospital Tehran University of Medical Sciences Tehran Iran tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hydrosalpinx, a fluid-filled blocked fallopian tube, is a major cause of infertility and is mainly linked to pelvic inflammatory disease. However, its connection to endometriosis, especially hidden tubal endometriosis without visible signs, is not well studied. This research aimed to find the prevalence of confirmed endometriosis in salpingectomy samples removed due to hydrosalpinx and to evaluate the subsequent reproductive outcomes. Methods: A cross-sectional study involved 70 infertile women undergoing laparoscopic salpingectomy at a specialized center. We gathered demographic, surgical, and pathological information from medical records. The main outcome was the occurrence of endometriosis based on histopathology. The secondary outcome was the rate of clinical pregnancies (either spontaneous or through ART) after salpingectomy. We used SPSS v23.0 for statistical analysis, considering Results: The average age of participants was 37.38 ± 6.13 years. Clear histological evidence of endometriosis was found in 14.3% (10/70) of samples. Notably, 8% (4/50) of patients without a history of endometriosis had hidden tubal disease. The visual detection of endometriosis during laparoscopy was marginally significantly associated with a positive pathology (37.5% vs. 7.4%, Conclusion: Examining salpingectomy samples is essential for detecting endometriosis. Women with histologically confirmed tubal endometriosis may represent a subgroup with potentially poorer reproductive outcomes. However, this observation is exploratory and requires validation in larger studies with adequate adjustment for age, ovarian reserve, and ART-related factors.

Indexed as

endometriosishistopathologyhydrosalpinxinfertilitysalpingectomy

Identifiers

PMID42877553
PMCPMC13662820

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