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Salpingectomy is a surgical procedure to remove one or both fallopian tubes, depending on the patient’s condition or reproductive goals. It is performed to treat ectopic pregnancy, infection, or endometriosis, or as a permanent birth control method. Consult our expert gynecologists at Pristyn Care for safe and personalized treatment.
Salpingectomy is a surgical procedure to remove one or both fallopian tubes, depending ... Read More
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A salpingectomy is a surgical procedure that removes one (unilateral salpingectomy) or both (bilateral salpingectomy) fallopian tubes. These tubes connect the ovaries to the uterus and are the pathways through which eggs travel during ovulation.
When both tubes are removed, pregnancy becomes impossible without assisted reproductive methods such as IVF. Therefore, a bilateral salpingectomy can act as a permanent surgery to stop pregnancy, offering a more definitive solution than tubal ligation surgery.
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There are two primary forms of salpingectomy, depending on how many fallopian tubes are removed:
Doctors recommend a fallopian tube removal for several medical or preventive reasons, including:
An ectopic pregnancy occurs when a fertilised egg implants outside the uterus, most often in a fallopian tube, causing internal bleeding and severe pain. Salpingectomy becomes necessary to remove the affected tube, prevent rupture, and protect the patient’s life from potentially fatal complications.
Chronic pelvic infections, often resulting from pelvic inflammatory disease (PID), can cause irreversible damage or abscess formation in the fallopian tubes. When medication fails to control infection or repair damage, surgical removal of the affected tube helps prevent further spread and restore pelvic health.
In endometriosis, uterine-like tissue grows abnormally on or around the fallopian tubes, leading to inflammation, pain, and fertility issues. A salpingectomy may be advised to remove affected tubes, alleviate chronic discomfort, and enhance reproductive health for women unresponsive to other treatments.
Hydrosalpinx refers to a blockage that fills the fallopian tube with fluid, impairing fertility and reducing the success of IVF. Removing the blocked tubes through salpingectomy often improves the chances of conception by creating a healthier environment for embryo implantation.
Bilateral salpingectomy is increasingly performed to reduce the risk of ovarian or fallopian tube cancer. Women with genetic predispositions, such as BRCA1 or BRCA2 mutations, may undergo preventive removal to lower cancer risk while preserving ovarian function when possible.
As a permanent birth control option, salpingectomy completely eliminates the possibility of natural conception by removing the pathways for egg transport. It offers a one-time, hormone-free alternative to temporary contraceptive methods for women certain about not wanting future pregnancies.
Understanding the definitions of salpingectomy and salpingotomy is essential for making informed decisions about fallopian tube surgery and fertility management.
It is a surgical procedure that involves the complete removal of one or both fallopian tubes. It is typically performed when a tube is severely damaged, blocked, or poses a health risk, such as in cases of recurrent ectopic pregnancy, infection, or as a preventive measure against cancer.Â
It is also known as salpingostomy, and is a conservative surgical procedure in which an incision is made in the fallopian tube to remove an ectopic pregnancy while leaving the tube itself intact. The goal of this procedure is to preserve tubal structure and function, allowing the tube to heal and maintain the possibility of natural conception.Â
Which approach is chosen depends on multiple factors: the condition of the tube, the patient’s fertility desires, the risk of complications, and intraoperative findings.
| Aspect | Salpingectomy | Salpingotomy (Salpingostomy) |
| Extent of Surgery | The entire fallopian tube (or affected section) is removed. | Only the ectopic pregnancy is removed; the tube remains intact. |
| Purpose | Definitive treatment to eliminate the damaged tube and prevent recurrence. | Conservative treatment aimed at preserving tubal structure and fertility. |
| Fertility Impact | It may reduce natural fertility, especially if the other tube is damaged or absent. | Preserves fertility potential by keeping the tube functional. |
| Risk of Persistent Trophoblastic Tissue | Very low, as the implantation site is removed with the tube. | Higher risk of residual tissue requiring serial hCG monitoring. |
| Risk of Repeat Ectopic Pregnancy | Lower, since the affected tube is removed. | Slightly higher, as scarring in the retained tube may increase risk. |
| Ovarian Reserve Impact | May slightly affect ovarian blood flow on the same side. | Ovarian blood supply is typically preserved. |
| Postoperative Monitoring | Minimal follow-up; serial hCG is not usually needed. | Requires close follow-up with hCG to detect persistent pregnancy tissue. |
| Ideal Candidates | Patients with ruptured or severely damaged tubes, or no desire for future pregnancy. | Patients prioritising fertility preservation with stable, unruptured ectopic pregnancies. |
| Surgical Complexity | Technically simpler and quicker to perform. | More delicate and time-consuming, with higher surgical precision needed. |
| Recovery & Complications | Fewer complications, shorter follow-up period. | Higher risk of tubal scarring, residual tissue, and recurrence. |
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Anaesthesia and Preparation:
The patient is administered general anaesthesia to ensure comfort and immobility throughout the surgery. The abdomen is thoroughly cleaned and sterilised to minimise infection risk, and all necessary instruments are prepared and checked before the procedure begins.
Listed below is a city-wise breakdown of the typical price ranges of Salpingectomy Cost in India:
| City | Average Cost (INR) |
| Bangalore | Rs. 40,000 |
| Chennai | Rs. 38,000 |
| Delhi | Rs. 42,000 |
| Gurgaon | Rs. 40,000 |
| Hyderabad | Rs. 40,000 |
| Mumbai | Rs. 44,000 |
| Pune | Rs. 40,000 |
No. Tubal ligation surgery involves blocking or sealing the tubes, while salpingectomy removes them completely. Salpingectomy also eliminates the risk of tubal cancer and ectopic pregnancy.
Minimally invasive laparoscopic techniques leave only small tubal ligation scars that fade over time.
Natural conception is not possible after bilateral salpingectomy, but IVF remains an option.
The procedure usually lasts between 45 minutes and 1.5 hours, depending on complexity.
Possible risks include infection, bleeding, injury to nearby organs, or anesthesia reactions. However, these are rare when performed by skilled surgeons.
No, once the tubes are removed, the procedure is permanent. Women seeking future fertility may opt for IVF.
Most an resume light work within a week after laparoscopic surgery, but full recovery from open surgery may take longer.
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