Often times, surgical procedures may be suggested to help improve pregnancy chances by correcting various infertility diagnoses. A thorough initial consultation with a doctor at Poma Fertility may identify abnormalities that could be causing the infertility. Although not all infertility issues are correctable by surgery, many can be.
Options to correct infertility surgically include:
- Tubal surgery: Remove adhesions, repair the fallopian tube opening, remove fluid or blockage from fallopian tubes
- Tubal reversal surgery: For women who have previously had their tubes tied
- Adhesiolysis: Removal of adhesions/scar tissue
Minimally invasive surgical techniques allow surgery to be performed through one small, or several small, precise incisions. Once the incision or incisions are made, the physician inserts a video camera and surgical instruments to repair the needed area. These minimally invasive procedures cause patients far less discomfort, have a quicker recovery time and require a shorter hospital stay.
Minimally invasive surgeries
Laparascopy – In Laparascopy, a surgeon inserts a long, thin telescope into the abdomen. A view from inside the abdomen allows the surgeon to view the pelvic area and look for any abnormalities. Thin surgical instruments can also be inserted during this procedure in order to remove cysts, adhesions or endometriosis. Infected or damaged fallopian tubes can be reconstructed and tied tubes can be reversed.
Hysteroscopy – During a hysteroscopy procedure, a surgeon used a thin viewing instrument called a hysteroscope. This is inserted through the vagina and moved through the cervix and into the uterus. The surgeon can identify any infertility problems caused by abnormalities inside the uterus, such as fibroids or polyps. Laparascopy may be performed simultaneously to correct the problem.
Robotic Surgery – During robotic surgery, surgeons perform delicate procedures with extremely small instruments. Surgeons are able to control the movement of these instruments through mechanical robotic arms operated from a station not too far away. These movements are seen on a large 3D screen and enable the surgeon to approach from any angle. Robotic surgery allows surgeons to make an incision no more than a couple of centimeters and have more accurate and precise movements. This means post-operative recovery quicker and less painful. Robotic surgery may be used to repair infertility causes including endometriosis or uterine fibroids and to reverse tied tubes.
If infertility is identified in the male, there are several surgical procedures to correct infertility causes, further test for the cause or assist in pregnancy:
- Vasectomy reversal: This out-patient procedure will reverse a previous vasectomy. By doing so, the ability to release sperm into semen is restored.
- Testicular biopsy: An in-office procedure where a few pieces of testicular tissue are removed to be further examined.
- Testicular sperm aspiration (TESA): TESA extracts a tissue samples from the testis through a needle biopsy and may extract sperm for in vitro fertilization and intracytoplasmic sperm injection.
- Perutaneous sperm aspiration (PESA): A needle is inserted into the epidermis in order to retrieve a pocket of sperm.