If a pelvic inflammatory disease goes untreated, the fallopian tubes can be damaged. Scar tissue can develop and if such adhesions are situated at the outer edges of the tubes, they can block entrance to the tubes. Infections caused by chlamydia infections often lead to changes in the fallopian tubes. Endometriosis can also irritate tissue and lead to adhesions around the fallopian tubes.
If the fallopian tubes have been damaged, there’s an increased risk of an ectopic pregnancy, a pregnancy outside the uterus, or in worst case of infertility.
If there are severe adhesions in the fallopian tubes, or if there’s a build-up of fluid in them, we recommend that you have your fallopian tubes removed.
Symptoms of blocked fallopian tubes or adhesions in the tubes:
Infertility and pelvic pain.
Treatment
The procedure is a keyhole operation in your pelvis (laparoscopy). In case of severe adhesions that prevent a pregnancy from happening or swollen, fluid-filled tubes that cause a lot of pain, we recommend removal of your fallopian tubes. This means that your only chance of getting pregnant is by means of IVF – artificial insemination.
Below you can read more about what happens during the operation.
Before the operation
You’ll have general anaesthesia for the removal of your fallopian tubes, and you’ll usually be able to go home later the same day. But because there may be some side-effects of the anaesthesia, you must have somebody to come and pick you up at the clinic and stay with you for the next 24 hours. It’s important that you tell the specialist before the procedure about any drugs or medicine you take, because some of them are dangerous in combination with the anaesthesia.
Fasting:
You are not allowed to eat anything 6 hours before your operation.
You are allowed to drink water and juice until 2 hours before your operation.
The operation
You’ll have general anaesthesia for the operation, which takes 1-2 hours. We’ll put an IV line in the back of your hand and give you the anaesthesia through it. The operation is performed with a thin tube with a microscope (laparoscope). To get a better view, your abdomen will be expanded with carbon dioxide (CO2). Then we’ll make another 1-2 tiny holes in your stomach to insert additional instruments. And finally we remove your fallopian tubes.
After the operation
You should take it easy for the rest of the day after the operation. The next day our nurse will call you at home to check that you’re OK.
Pain
It’s normal to experience pain after the operation. Your tummy may also feel bloated, and occasionally there’ll be pain in the right shoulder. However, the pain and discomfort should pass in a day or two.
Hygiene
You can take a shower after 24 hours. Take off any bandages first, and afterwards gently dab the wounds with a towel. The wounds heal better if they are left unbandaged. But if there’s a bit of oozing from the wounds you should put on a clean bandage.
Activity
Following the keyhole operation, you should be off sick for 1-2 weeks. There’re no special restrictions for lifting or activity after the operation. But you should never push yourself beyond your ”pain threshold”.
Check-up
Once the keyhole surgery is over, we close the incisions with soluble thread inside and special tape on your skin. This means that you don’t have to have the threads removed. But you should come in for a check-up 1 month after the operation.
Side-effects and complications
If you experience strong pain, fever or any other symptoms of infection, you must contact the clinic at +45 8612 6121 or 2320 4221.