Reproductive Surgery

In some situations, the condition causing infertility is not treatable through the use of medication or procedures including intrauterine inseminations and ovarian drilling. In such scenarios, surgical options are considered to treat the applicable condition in the female or male. With the ascent of InVitro Fertilization (IVF), fewer indications for surgical infertility exist today than a decade ago. Nevertheless, there are still many occasions where competent surgery can make a difference. Examples include: myomectomy (the surgical removal of fibroid tumors from the uterus), ovarian cystectomy (the surgical resection of ovarian cysts), tuboplasty (the surgical correction of abnormal fallopian tubes), among others.

Treatment:

Female surgical treatment options include:
Hysteroscopy - outpatient procedure in which the doctor uses a narrow fiberoptic telescope inserted into your uterus through your cervix, to look for and, if necessary, remove adhesions inside your uterus.
Laparoscopy - outpatient surgical procedure in which the doctor uses a narrow fiberoptic telescope inserted through an incision near your navel to look for and, if necessary, remove adhesions in your pelvic cavity, remove ovarian cysts or remove or repair a fluid-filled hydrosalpinx.
Fallopian Tube Sterilization Reversal (reanastomosis) - A tubal reversal is a surgical procedure performed to reconnect the two ends of the fallopian tubes in an effort to reverse tubal ligation.
Hydrosalpinx removal - A hydrosalpinx is an obstructed fallopian tube that leads to an accumulation of fluid. Removal of the affected tube can increase IVF success rates.

Male surgical treatment options include:
Testicular biopsy - in-office surgical procedure in which several small pieces of testicular tissue are removed and examined for sperm which can be used in fertility procedures.
Testicular sperm aspiration (TESA) - involves a needle biopsy of the testicle in which a sample of tissue is taken directly from the testis and used to extract sperm for IVF or ICSI.
Percutaneous sperm aspiration (PESA) - involving a needle inserted into the epididymis in an effort to locate and aspirate a pocket of sperm.
Vasectomy reversal - A vasectomy reversal is often performed as an outpatient procedure and is done to reverse a previous vasectomy and restore the male's ability to release sperm into his semen from the testicles.

Surgical Treatment Value:

RGI's physicians are all well trained as gynecological surgeons and are especially well versed in the performance of minimally invasive surgeries, such as operative laparoscopy and operative hysteroscopy.

Next Steps:

If you have need for Surgical Infertility Treatment please send us an Online Inquiry, so we can learn more about you and your situation.