Reproductive surgical treatments involve surgeries to evaluate, identify, and/or correct problems of the female genital tract often associated with infertility. In some cases, treatment may eliminate the need for Assisted Reproductive Technologies (ART), while in other instances, chances for a successful pregnancy may be improved.

The procedures listed can correct some major causes of infertility, including endometriosis, fibroids, congenital anomalies, and pelvic adhesions. These procedures can also correct some major causes of gynecologic problems, including abnormal vaginal bleeding, fibroids, female cancer, and pelvic pain.

Laparotomy
This major surgical procedure requires inpatient hospital admission and allows direct visualization and examination of the pelvic organs. It is usually performed when large fibroids, female cancer, sizable ovarian masses, extensive scar tissue from prior surgeries, severe endometriosis, or congenital anomalies are involved. Length of stay is generally 2 to 4 days, though patients are walking and eating the day following surgery.

Laparoscopy
This outpatient surgical procedure can sometimes be used to correct minor conditions and allow for natural conception. It is commonly used to remove ovarian cysts, remove/repair a hydrosalpinx, and to remove other anomalies in the pelvic cavity. Unlike major abdominal surgery, patients recover in just a few days and experience minimal discomfort.

Hysteroscopy
This diagnostic procedure is used to examine the uterus and determine causes of infertility, recurrent miscarriages, and abnormal bleeding. Here the doctor places a small telescope into the uterus through the vagina. Performed on an outpatient basis, it is helpful in finding and sometimes removing conditions such as fibroids, scarring, polyps, or other abnormalities. Thanks to the minimally invasive methods used, most patients return to work the following day, often with minimal or no discomfort.

Fallopian Tube Sterilization Reversal (Reanastomosis)
Successfully "untying" a woman's tubes significantly increases the likelihood of conception. However, rates of success are determined by a variety of factors, including: location, amount of tissue available, length of the reconnected tube, and the quality of the tubes' lining. Our surgeons are experienced in microsurgical reconnection, as well as providing quality follow-up care for this procedure.

Hydrosalpinx Removal
Fluid that accumulates in a blocked fallopian tube is referred to as a hydrosalpinx and may prevent an egg from being fertilized and reaching the uterus. Repairing or removing the affected fallopian tube can help increase chances of fertility and conception. This minimally invasive procedure is done on an outpatient basis, usually via laparoscopy.

Tubal Cannulation
Fallopian tubes are sometimes obstructed at the narrow junction between the uterus and tube. The obstruction can be cleared by inserting a tiny wire into the tube to clear a path for the egg and sperm. Our reproductive specialists are highly skilled at this delicate procedure, which is provided on an outpatient basis. This is usually performed during a hysteroscopy.