About this service
Salpingostomy in Windhoek is a surgical procedure that opens a fallopian tube, most often used to treat an ectopic pregnancy where a pregnancy has implanted outside the uterus. It is needed because an ectopic pregnancy cannot continue safely and can become a medical emergency if not treated promptly, so the procedure removes the pregnancy while aiming to preserve the fallopian tube where possible.
It is usually carried out once an ectopic pregnancy has been confirmed on scan or blood tests. Eastgate Clinic performs salpingostomy in our on-site day theatre, with urgency appropriate to your situation.
What to expect
- Urgent ultrasound and hCG blood tests to confirm the pregnancy is in the tube
- General anaesthesia and usually keyhole surgery to open the tube and remove the pregnancy
- The tube is kept where possible, but removed if it is badly damaged or bleeding
- A short stay for monitoring, and blood tests each week until the pregnancy hormone reaches zero
- A talk about future pregnancies, including early scans next time to check the location
Who is it for?
You may be advised to have this if you are dealing with:
- Confirmed or suspected ectopic pregnancy
- Abdominal pain with a positive pregnancy test
- Vaginal bleeding alongside pelvic pain in early pregnancy
- A scan showing a pregnancy outside the uterus
- Sudden severe pelvic pain in early pregnancy requiring urgent assessment
Frequently asked questions
Is an ectopic pregnancy an emergency?
It can be. Severe pain, shoulder-tip pain, fainting or heavy bleeding with a positive pregnancy test need immediate care. Contact the clinic straight away or go to the nearest emergency unit. Salpingostomy is arranged urgently once the diagnosis is confirmed.
Does salpingostomy save the fallopian tube?
Salpingostomy opens the tube and removes the pregnancy while leaving the tube in place, which can preserve fertility on that side. If the tube is badly damaged, removing it may be safer, and the surgeon decides this during the operation.
Why do I need blood tests after surgery for an ectopic pregnancy?
A small amount of pregnancy tissue can remain in the tube after salpingostomy. Weekly hCG blood tests confirm the hormone is falling to zero, and further treatment is arranged if it does not.
For referring doctors
This procedure can be booked in Eastgate Clinic's day theatre in Windhoek, with anaesthetist and theatre staff provided. Contact us to arrange theatre time for your patient.
Day theatre information for doctorsReady to book your salpingostomy?
Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.