Case Share: Xiao Xu is only 24 years old and has been married for a year without getting pregnant, so her parents and in-laws are very anxious. At the urging of her parents, the couple came to the hospital for a checkup. The results showed that everything was normal for Xu’s husband, but Xu had hydrosalpinx. Xiao Xu said that usually have occasional symptoms of lumbar pain and abdominal pain, but the pain is not strong, thought that the young did not take it seriously. Xiao Xu feels strange: personal hygiene habits are very good, and have not seen other gynecological inflammation, why there will be hydrocele? What is hydrosalpinx? What is tubal hydrosalpinx? And what are the methods to treat tubal hydrosalpinx? In fact, abortion, spontaneous abortion, medical abortion, induced abortion, unclean sexual intercourse, pelvic infection can lead to tubal wall adhesion, congestion, edema and blockage; incomplete abortion, residual placenta triggered by inflammation, individual with intrauterine device, secondary chronic tubal inflammation, long-term inflammatory stimulation will also make the tubes thickened, hardened, tubal lumen adhesion, narrowing, adhesion atresia in different locations of the tubes. How can I know if I have tubal fluid? There are the following three methods: 1. Tubal imaging Currently the most simple and reliable method to confirm the diagnosis of tubal hydrosalpinx, X-ray shows that the whole fallopian tube and see the umbrella end of the thickening and expansion of the whole fallopian tube, 20 minutes after the delayed film shows the bilateral tubal residual shadow, the pelvic cavity, there is no contrast dispersion. 2. Ultrasound Diagnosis Certain tubal hydrocele can be shown on ultrasound, but ultrasound can only indicate the presence of fluid dark area but not finally confirm whether there is hydrocele or not. 3. Laparoscopy can directly diagnose hydrosalpinx, in the laparoscopy can see the umbrella end and the surrounding adhesion situation has been determined the function of the fallopian tube, generally not as the first choice of examination, mostly in the diagnosis of imaging after treatment. Clearly suffered from tubal hydrosalpinx, how to treat – tubal hydrosalpinx patients such as no obvious symptoms and no fertility requirements, can be observed and followed up without treatment; but if there are fertility requirements, surgical treatment is the best choice: 1, tubal umbilical stoma Tubal stoma for tubal proximal patency, distal hydrocele, atresia of the patient, for the traditional treatment. Tubal ostomy is suitable for patients who have fluid retention or atresia at the distal end of the tubes. 2.Tubo-ovarian adhesion release Tubo-ovarian adhesion is very common in patients with infertility and chronic pelvic pain, which is mostly caused by infection, endometriosis and previous surgery, so tubo-ovarian adhesion release can be performed. 3.Tubal root ligation The most suitable choice for patients with hydrosalpinx is tubal root ligation in order to completely avoid the entry of hydrosalpinx into the uterine cavity, and then assisted procreation; since there is no damage to the uterus, the patient can receive assisted procreation treatment soon after the completion of the surgery. Tip: Ligation of the fallopian tubes can make it almost impossible for a woman to conceive naturally, so tubal rhizotomy should only be performed with the patient’s full informed consent.