Related Experiment Video
Updated: Aug 10, 2026
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Best practice in management of paediatric and adolescent hydrosalpinges: a systematic review
1University of Manchester School of Medicine, Stopford Building, Oxford Road, Manchester M13 9PT, United Kingdom.
Insights
Pediatric hydrosalpinx, a rare cause of abdominal pain, shows similar outcomes with surgical, medical, and conservative treatments. Further research is needed as non-surgical options are underutilized.
Area of Science:
- Pediatric Surgery
- Gynecology
- Medical Literature Review
Background:
- Hydrosalpinx is an uncommon cause of abdominal pain in children, distinct from adult etiologies.
- It can mimic acute abdominal conditions or be asymptomatic.
- Management typically involves surgical intervention, often salpingectomy.
Purpose of the Study:
- To review the literature and determine the optimal management strategies for pediatric hydrosalpinx.
- To compare the effectiveness of different treatment approaches.
Main Methods:
- A comprehensive literature search was conducted on MEDLINE and EMBASE databases in June 2015.
- Relevant keywords were used to identify studies on pediatric hydrosalpinx management.
Main Results:
- The review identified 66 cases from 38 articles.
- Surgical intervention (salpingectomy) was performed in 74% of cases.
- Nonsurgical management (medical or conservative) was used in 26% of cases, with varying degrees of success and some complications like torsion.
Conclusions:
- Surgical, medical, and conservative management of pediatric hydrosalpinx demonstrate comparable outcomes.
- Medical and conservative approaches are underutilized.
- Additional research is required to further elucidate the best management practices.
Background:
Hydrosalpinx is a rare cause of abdominal pain in paediatric patients, though cases are documented in the literature. Its aetiology differs considerably from traditional hydrosalpinx due to ascending sexually transmitted infection. Hydrosalpinx can present mimicking an acute abdomen or can be asymptomatic. Management of paediatric hydrosalpinx varies, but often involves surgical removal of the affected tube.
Methods:
In June 2015, a literature search using relevant keywords was completed on MEDLINE and EMBASE databases to determine best management of paediatric hydrosalpinx.
Results:
We found 66 cases from 38 articles. Surgical intervention took place in 74% of cases (n=49). The most common surgical intervention was salpingectomy. In 3% of cases (n=2), nonsurgical medical management with hormonal therapy was utilized, with post-operative improvement in symptomology. In 23% of cases (n=15), conservative management was utilized: 2 of these cases torted, 4 cases persisted and 9 cases resolved.
Conclusion:
Overall, the results of this review demonstrate that there are comparable outcomes between surgical, medical and conservative management. However, medical and conservative management was not often offered, and more research is needed on the subject.
