Infertility surgeries

Infertility is a diverse condition that has so many causes. It can be due to anatomical or hormonal defect. Although most of the cases can be managed by medication, some may need surgical intervention to diagnose and treat the cause of infertility and hence increase the chances of conception in a couple.

Female surgical options

Hysteroscopy: Hysteroscopy is an outpatient procedure performed with a narrow fiberoptic telescope called a hysteroscope. A hysteroscope is inserted into the uterus through the vagina & cervix, to look for and treat any issues noted at the time

Laparoscopy: Laparoscopy is a simple, minimally invasive, keyhole surgical procedure that uses a narrow fiberoptic telescope called a laparoscope. The laparoscope is inserted through an incision near the navel for diagnostic as well as therapeutic purpose.

Diagnostic indications include:

  • Tubal patency (tubes are open)
  • Condition of uterus and ovaries

Therapeutic (treatment) conditions such as

  • Endometriosis
  • PCOD treatment
  • Tubal microsurgery
  • Removal of fibroids & ovarian cysts
  • Removal of adhesions
  • Correction of uterine abnormalities
  • Removal or repair a fluid-filled tube known as a hydrosalpinx

Fallopian Tube Sterilization Reversal (reanastomosis): It is a surgical procedure performed to reconnect the two ends of the fallopian tubes in an effort to reverse sterilization.

Hydrosalpinx removal: Removal of the obstructed fallopian tube (hydrosalpinx) is performed to increase IVF success rates.

Male Surgical Options

Testicular biopsy: The procedure is done in an out-patient setting to take several small pieces of testicular tissue and examine them for sperm which can be used in fertility procedures.

Testicular sperm aspiration (TESA): The procedure involves a needle biopsy of the testicles. A sample of the tissue is taken directly from the testis and used to extract sperm for IVF or ICSI.

Percutaneous sperm aspiration (PESA): The procedure involves insertion of a needle into the epididymis to locate and aspirate a pocket of sperm.

Vasectomy reversal: The surgical procedure is performed to reverse the vasectomy and restore the male’s ability to release sperm into his semen from the testicles.

The majority of the male surgeries for infertility are performed through Microsurgery.

Authored by Dr.Deepak Rao

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Dr. Deepak Rao is a gynaecologist and laparoscopic surgeon. A pioneer of endoscopic surgery (laparascopy and hysteroscopy) in Bangalore

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