THE RESULTS OF TUBAL SURGERY IN THE TREATMENT OF INFERTILITY IN WELLINGTON 1986-90

Aims. To audit the outcome of tubal surgery performed in Wellington be tween 1986-90. To establish the appropriate indications for tubal surg ery in terms of likely benefit. To compare benefit with other treatmen t modalities namely invitro fertilisation. Methods. Data obtained from hospital patient notes, theatre records and personal communication. R esults. There were 71 patients, 67 of whom had been adequately followe d up. The total pregnancy rate was 41.8% with an overall term pregnanc y rate of 29.8%. The success rate was highest with proximal tubal occl usion and worst for distal disease and endometriosis. Conclusion. The outcome of the audit is consistent with results worldwide. Tubal surge ry allows for natural conception and more than one pregnancy can be co nceived as a result. It should be considered the first line treatment for proximal tubal disease and fimbrial adhesions. In vitro fertilisat ion however should be offered to those with severe distal disease and severe endometriosis.