Comparison of the effects of three methods used in the treatment of tubal ectopic pregnancy on tubal patency

Aim: We aimed to compare the three methods used in the treatment of tubal ectopic pregnancy to the effects of tubal patency with hysterosalpingography.This study aims to evaluate the use of methotrexate therapy, surgery, and expectant supervision in the assessment of risks and benefits of the characteristics of individual patients.Materials and Methods: In our clinic between January 2009-May 2015, 60 patients who were diagnosed with tubal ectopic pregnancy and had treatment and also have no history of previous ectopic pregnancy and tubal surgery enrolled in our study.The first group received treatment with methotrexate, the second group received laparoscopic salpingostomy and the third group received laparotomy which is made tubo-tubal anastomosis with a catheter after the resection of the ectopic pregnancy.The patients without an ipsilateral tubal passage were treated with diagnostic laparoscopy.Data were analyzed using descriptive statistical methods (mean, standard deviation, frequency) quantitative data, and the Mann-Whitney U test.Fisher's Exact Chi-square test was used to compare the qualitative data.The significance was evaluated as a <0.05 level.Results: Tubal patency cannot be observed for 5 out of 20 (25%) patients in the MTX group, 4 out of 20 (20%) patients in the salpingostomy group, 1 out of 20 patients (5%)in the anastomosis group.Discussion: When tubal patency was evaluated for all 3 groups no statistically significant difference was seen (p> 0.05) between the MTX group and salpingotomy groups in terms of tubal patency.But after treatment of anastomosis group tubal patency was monitored statistically significant (p <0.05).