Salpingectomy is a surgical procedure to remove one or both fallopian tubes.
Used to treat certain conditions of the fallopian tubes, ectopic pregnancy, and as a preventive measure against ovarian cancer.
Can be performed laparoscopically to reduce recovery time.
Types of Salpingectomy
Unilateral Salpingectomy: Removal of one fallopian tube. Pregnancy is still possible as one functioning tube remains. Used for ectopic pregnancy or blockage.
Bilateral Salpingectomy: Removal of both tubes, preventing natural pregnancy. Used for fallopian tube cancer or permanent contraception.
Indications for Salpingectomy
Ectopic pregnancy
Cancer in uterus, ovaries, or fallopian tubes
Infection in fallopian tubes
Endometriosis
Blocked/damaged tubes
Permanent contraception
Preventive for those at high risk for ovarian/breast cancer (especially with BRCA gene mutations)
Procedure Details
Preparation
Preoperative instructions vary by type, age, and medical conditions.
In emergencies, such as ectopic pregnancy, questions may be addressed right before surgery.
Surgical Methods
Laparoscopic Salpingectomy: Minimally invasive, involves small incisions, quicker recovery.
Open Abdominal Salpingectomy: Large incision, longer recovery, used in specific cases.
Duration
Varies based on procedure type (total vs. partial) and method (laparoscopic vs. open).
Post-Surgery
Recovery room monitoring post-operation.
Laparoscopic surgery may allow same-day discharge; open surgery usually requires overnight hospital stay.
Recovery time varies, with restrictions on mobility and activity.
Risks/Benefits
Advantages
Relief from symptoms of conditions like endometriosis
Reduces ovarian cancer risk
Permanent contraception
Life-saving in cases of ectopic pregnancy
Risks
Bleeding
Reaction to anesthesia
Blood clots
Damage to nearby organs
Infection
Recovery and Outlook
Recovery Time
Laparoscopic: Few days to resume normal activities; up to 14 days for full lifestyle.
Open surgery: Up to six weeks due to larger incision.
Activity restrictions include avoiding heavy lifting and strenuous exercise.
Pregnancy and Menstrual Cycle
Unilateral: Possible natural pregnancy if one tube is left.
Bilateral: Natural pregnancy unlikely; IVF possible if the uterus remains.
Menstrual cycle continues after surgery.
Cancer Prevention
Highly effective in reducing ovarian cancer risk, especially for those with BRCA mutations.
When to Call a Doctor
Symptoms include swelling, redness, leaking fluids, pelvic pain, leg pain, fever, or painful urination indicate complications.
Common Questions
Salpingectomy vs. Other Procedures
Tubal Ligation: Involves interrupting fallopian tube function; can include salpingectomy.
Oophorectomy: Removal of ovaries.
Hysterectomy: Removal of the uterus.
Note
Salpingectomy can be life-saving and is supported by healthcare teams like those at Cleveland Clinic.
Emotion and anxiety are normal; communication with healthcare providers is encouraged.
Care at Cleveland Clinic
Cleveland Clinic provides comprehensive care and support for those undergoing salpingectomy.