Reproductive surgery explained by Dr. Rama Sofat and Dr. Amit Sofat of Dr. Rama Sofat Hospital
Infertility treatment commonly involves assisted reproductive technology to improve the chances of conception, but there are also a variety of structural causes of female and male factor infertility that have surgical solutions.
How surgery is helpful?
According to Dr. Rama Sofat in few cases, an anatomic problem would prevent a couple from conceiving. Reproductive Surgery in most cases can help fix the obstruction, whether it's a scarred tube or an abnormally shaped uterine cavity. In men, varicoceles condition can often be a problem. Men and women who have undergone sterilization (vasectomy or tubal ligation) may also undergo surgery to try to regain fertility.
Categories of surgeries?
Doctors may recommend a surgical treatment based on the patient, female's fertility problem. If the surgery goes smoothly, most fertility procedures can be done on an outpatient basis.
Categories are as such:
1. Fallopian Tube Abnormalities: Tuboplasty
As explained by Dr. Rama Sofat the fallopian tubes are the path that the sperm and egg must take to achieve fertilization and successfully implant in the uterine cavity. Disorders of the fallopian tubes can lead to the inability to conceive, because the sperm and egg cannot meet. Laparoscopy is often used to diagnose and treat these disorders.Tubal surgery to increase fertility involves reversal of tubal sterilization or opening the tubes that were blocked by endometriosis or infection at the far (distal) end next to the ovary (hydrosalpinx), or at the near (proximal) end arising from the uterus (cornua). Microsurgical tubal reversal, anastomosis and reanastomosis are terms used to describe repair or untying of a tube or both tubes using microsurgery.
2.Uterine Abnormalities :Metroplasty /Unification:
The uterus or womb is the organ where the embryo implants and develops throughout a pregnancy. Uterine abnormalities can contribute to decreased fertilization, miscarriage, or pregnancy complications. Common acquired uterine abnormalities requiring surgical treatment include polyps, scarring, and fibroids. Dr. Rama Sofat explains that many of these abnormalities can be treated using hysteroscopy and/or laparoscopy, but some may require more extensive surgery depending on the patient’s condition.
3.Ovarian Cysts : Ovarian Cystectomy:
Ovarian cysts are a frequent finding in women of reproductive age. Many of them resolve on their own and do not require surgery. Cysts that are large or persistent, lasting more than several months may require surgery. Dr. Rama Sofat explains that most ovarian cysts are non-cancerous and may be the result of endometriosis or other benign processes. Cancer is rarely found in women of reproductive age with simple ovarian cysts, but surgical removal and microscopic examination is the only way to definitively diagnose the type of cyst. Ovarian cysts can typically be removed with a laparoscope, and do not require removal of the entire ovary.
4.Endometriosis:
Endometriosis is a gynecologic condition characterized by endometrial tissue from the inner lining of the uterus growing outside of the uterine cavity. Typical symptoms of endometriosis are painful menstrual periods, vaginal bleeding between periods, and infertility; however, some women with infertility associated with endometriosis have no symptoms.Dr. Rama Sofat says that for women with endometriosis, surgery can be done to remove, or lessen, the amount of abnormal tissue in the pelvis.
5.Fibroids:
As per Dr. Rama Sofat approximately 30 percent of patients will have leiomyoma uteri (fibroid tumors). Fibroid tumors may be asymptomatic or may cause excessive uterine bleeding, recurrent miscarriages, pain and pressure, or severe anemia. Fibroid tumors may be removed via laparotomy or, in select cases, by outpatient hysteroscopy.Hysteroscopy is an outpatient procedure in which the doctor uses a narrow fiber optic telescope inserted into uterus through the cervix.
6.Pelvic Adhesions:
Adhesions can cause major problems with fertility. Although adhesions can be removed during surgery, surgery can sometimes also cause adhesions. In fact, previous abdominal, and particularly pelvic, surgery continues to be an important risk factor for tubal infertility. It is known that adnexal adhesions form in the majority of patients undergoing myomectomy.
Male surgical treatments
Vasectomy reversal: As per Dr. Rama Sofat 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.
Infertility treatment commonly involves assisted reproductive technology to improve the chances of conception, but there are also a variety of structural causes of female and male factor infertility that have surgical solutions.
How surgery is helpful?
According to Dr. Rama Sofat in few cases, an anatomic problem would prevent a couple from conceiving. Reproductive Surgery in most cases can help fix the obstruction, whether it's a scarred tube or an abnormally shaped uterine cavity. In men, varicoceles condition can often be a problem. Men and women who have undergone sterilization (vasectomy or tubal ligation) may also undergo surgery to try to regain fertility.
Categories of surgeries?
Doctors may recommend a surgical treatment based on the patient, female's fertility problem. If the surgery goes smoothly, most fertility procedures can be done on an outpatient basis.
Categories are as such:
1. Fallopian Tube Abnormalities: Tuboplasty
Tuboplasty
As explained by Dr. Rama Sofat the fallopian tubes are the path that the sperm and egg must take to achieve fertilization and successfully implant in the uterine cavity. Disorders of the fallopian tubes can lead to the inability to conceive, because the sperm and egg cannot meet. Laparoscopy is often used to diagnose and treat these disorders.Tubal surgery to increase fertility involves reversal of tubal sterilization or opening the tubes that were blocked by endometriosis or infection at the far (distal) end next to the ovary (hydrosalpinx), or at the near (proximal) end arising from the uterus (cornua). Microsurgical tubal reversal, anastomosis and reanastomosis are terms used to describe repair or untying of a tube or both tubes using microsurgery.
2.Uterine Abnormalities :Metroplasty /Unification:
Uterine anomalies
3.Ovarian Cysts : Ovarian Cystectomy:
Ovary with cyst
4.Endometriosis:
Endometriosis is a gynecologic condition characterized by endometrial tissue from the inner lining of the uterus growing outside of the uterine cavity. Typical symptoms of endometriosis are painful menstrual periods, vaginal bleeding between periods, and infertility; however, some women with infertility associated with endometriosis have no symptoms.Dr. Rama Sofat says that for women with endometriosis, surgery can be done to remove, or lessen, the amount of abnormal tissue in the pelvis.
5.Fibroids:
As per Dr. Rama Sofat approximately 30 percent of patients will have leiomyoma uteri (fibroid tumors). Fibroid tumors may be asymptomatic or may cause excessive uterine bleeding, recurrent miscarriages, pain and pressure, or severe anemia. Fibroid tumors may be removed via laparotomy or, in select cases, by outpatient hysteroscopy.Hysteroscopy is an outpatient procedure in which the doctor uses a narrow fiber optic telescope inserted into uterus through the cervix.
6.Pelvic Adhesions:
Adhesions can cause major problems with fertility. Although adhesions can be removed during surgery, surgery can sometimes also cause adhesions. In fact, previous abdominal, and particularly pelvic, surgery continues to be an important risk factor for tubal infertility. It is known that adnexal adhesions form in the majority of patients undergoing myomectomy.
Male surgical treatments
Vasectomy reversal: As per Dr. Rama Sofat 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.
Reproductive surgery explained by Dr. Rama Sofat and Dr. Amit Sofat of Dr. Rama Sofat Hospital
Reviewed by Amanpreet Singh
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1:03 PM
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Reviewed by Amanpreet Singh
on
1:03 PM
Rating:
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