Reproductive Surgery (04.02)

Reproductive surgery is utilized in cases of infertility that are related to anatomic or structural issues within the reproductive tract.

Conditions treated through reproductive surgery

Reproductive surgery may be used to treat problems of the uterus, tubes and ovaries. Specific conditions treated through reproductive surgery include:

• Uterine conditions – congenital abnormalities, fibroids, polyps, scarring
• Endometriosis
• Ovarian cysts
• Pelvic adhesions
• Fallopian tube disorders

Reproductive surgery treatments

Today, reproductive endocrinologists can successfully treat many fertility problems through assisted reproductive technology, but others require surgical intervention. Reproductive surgery is often performed through minimally invasive techniques including robotic-assisted surgery. Robotic surgery utilizes cameras that provide a magnified, three-dimensional view and allows the surgeon to precisely control the tiny instruments from a control station inside the operating room.

Minimally invasive surgery requires either no incisions or very small incisions, allowing patients to heal faster and reducing the risk of certain complications associated with more extensive surgery. Many of these surgeries are done on a outpatient basis and most patients experience less blood loss and less pain, reducing the need for pain medication. Smaller incisions also mean scarring is minimized both inside and outside of the body.

Some common types of minimally invasive reproductive surgery are:

• Laparoscopy – A lighted telescope (laparoscope) is inserted through the belly button to view the pelvis. Additional small incisions then allow for the surgeon to correct the pelvic anatomy
• Hysteroscopy – A lighted telescope (hysteroscope) is passed through the vagina and cervix, allowing your reproductive surgeon to view the inside the uterus without making an incision

Minimally invasive reproductive surgery may not be appropriate for all patients. Your doctor should discuss the details of your specific case to determine the appropriate surgical approach.