Reproductive outcomes after laparoscopic surgery in women with tubal infertility – a retrospective study of 136 cases at Pikine National Hospital, Senegal, 2018-2023

Mouhamet Sene; Khalifa A. Gueye; Abdoul A. Diouf; Mareme Toure; Moussa Diallo; Hamza D. Moussa; Anna Dia; Youssou Toure; Alassane Diouf

doi:10.18203/2320-1770.ijrcog20263407

Authors

Mouhamet Sene Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Khalifa A. Gueye Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Abdoul A. Diouf Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Mareme Toure Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Moussa Diallo Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Hamza D. Moussa Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Anna Dia Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Youssou Toure Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal
Alassane Diouf Department of Obstetrics and Gynecology, Pikine National Hospital, Dakar, Senegal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20263407

Keywords:

Laparoscopy, Pregnancy, Reproductive outcomes, Senegal, Tubal infertility, Tubal surgery

Abstract

Background: Evidence on reproductive outcomes after laparoscopic management of tubal infertility remains limited in West Africa. This study described reproductive outcomes after laparoscopic surgery for tubal infertility at Pikine National Hospital, Senegal.

Methods: A retrospective descriptive and analytical study were conducted from January 2018 to December 2023. Women with documented tubal infertility who underwent laparoscopic management and had assessable reproductive follow-up were included. Women treated for ectopic pregnancy and those with incomplete clinical or follow-up data were excluded. Data were obtained from medical records and standardized telephone interviews. The primary outcome was pregnancy after surgery.

Results: The study included 136 women with a mean age of 38.1±6.1 years. Primary and secondary infertility each accounted for 50.0% of cases. Chromotubation results were available for 99 women: bilateral tubal patency was observed in 41.4%, unilateral patency in 24.2%, and bilateral proximal obstruction in 33.3%. During follow-up, 37 women became pregnant, giving an overall pregnancy rate of 27.2%. Of these pregnancies, 26 (70.3%) were carried to term, six (16.2%) ended in spontaneous abortion, and five (13.5%) were ongoing at study closure. No ectopic pregnancy was recorded. Age was not significantly associated with pregnancy (p=0.384).

Conclusions: More than one-quarter of women treated laparoscopically for tubal infertility subsequently achieved pregnancy. Prospective multicentre studies using standardized lesion grading and clearly defined reproductive follow-up are needed.

References

World Health Organization. Infertility prevalence estimates, 1990–2021. 2023. Available at: https://www.who.int/publications/i/item/978920068315. Accessed on 15 May 2026.

Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med. 2012;9(12):e1001356.

Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum Reprod. 2007;22(6):1506-12.

Ombelet W. Is global access to infertility care realistic? The Walking Egg Project. Reprod Biomed Online. 2014;28(3):267-72.

Yazbeck C, Fauconnier A, Pouly JL. Reproductive surgery. J Gynecol Obstet Biol Reprod (Paris). 2010;39(8 Suppl 2):S75-87.

Chua SJ, Akande VA, Mol BWJ. Surgery for tubal infertility. Cochrane Database Syst Rev. 2017;1(1):CD006415.

Practice Committee of the American Society for Reproductive Medicine. Role of tubal surgery in the era of assisted reproductive technology: a committee opinion. Fertil Steril. 2021;115:1143-50.

Gomel V. The place of reconstructive tubal surgery in the era of assisted reproductive techniques. Reprod Biomed Online. 2015;31(6):722-31.

Fanny M, Aka E, Konan P, Olou L, Koffi AK, Adjoussou S, et al. African experience of hysterosalpingography abnormalities tubes management by laparoscopy in infertile women. Int J Reprod Contracept Obstet Gynecol. 2019;8(11):4271-5.

Mbaye M, Cissé ML, Guèye SMK, Dièmé MEF, Diouf AA, Guèye M, et al. Premiers résultats de la cœlioscopie gynécologique au Centre hospitalier universitaire (CHU) de Dakar: série prospective de 128 cas. J Obstet Gynaecol Can. 2012;34(10):939-46.

Bouzid H. Traitement cœlioscopique de l'infertilité tubaire au Centre de Santé Gaspard Camara [specialty dissertation]. Dakar: Université Cheikh Anta Diop; 2022.

Sall MS. Place de la plastie tubo-péritonéale dans la prise en charge de l'infertilité féminine d'origine tubaire: à propos de 45 cas [medical thesis]. Dakar: Université Cheikh Anta Diop; 2019.

Tulandi T, Al-Shahrani AA. Adhesion prevention in gynecologic surgery. Obstet Gynecol Surv. 2013;68(11):793-803.

Ahebla AA. Diagnostic et prise en charge de l'infertilité tubaire à la Clinique La Grâce Marie de Ouagadougou [medical thesis]. Ouagadougou: Université Joseph Ki-Zerbo; 2021.