INTEGRIS Bennett Fertility

Phone

Address

3433 NW 56th
Bldg. B, Suite 200
Oklahoma City, OK 73112

Fertility Surgery

Some cases of infertility caused by scar tissue, tubal blockage, or endometriosis can be treated by surgery. Such treatment may increase the chance of natural conception without the need for extensive and expensive infertility treatments.

For men, surgery can reverse vasectomy, correct blockage of the reproductive tract, or correct a varicocele (an enlarged vein in the scrotum).

For women, surgery can correct a fallopian tube blockage and remove growths from the reproductive tract such as uterine fibroids, certain ovarian cysts, endometriosis, and severely diseased fallopian tubes. Tubal surgery, however, is no longer recommended for correction of severe tubal disease and blockage. The preferred surgery in such cases, in fact, is to surgically remove the diseased fallopian tubes.

Less corrective surgery is performed today for two main reasons: increased effectiveness of in-vitro fertilization (IVF), which has higher pregnancy rates than most corrective reproductive surgery and is less invasive; and the realization that, absent bothersome symptoms such as painful menstruation or coital discomfort, surgery has a limited success in improving fertility.

Reproductive surgery via an open abdominal incision (laparotomy) is uncommon today, except in select cases of uterine fibroids or severe endometriosis and scarring.  Laparoscopy, an outpatient procedure through small abdominal incision, is also performed less frequently today and is no longer considered a routine part of infertility evaluation. In fact, statistics show that laparoscopic surgery performed only for infertility indications may result in improvement in fertility in only 25% of patients.

Hysteroscopic surgery, an outpatient procedure in which uterine birth defects and deformities are corrected or uterine lesions (such as fibroids, polyps, or scar tissue) are removed via a telescope inserted through the cervix (uterine opening) is still widely used. It is also possible to unblock fallopian tubes with this procedure if the blockage is at the uterine origin of the tubes.

Surgical Services

Reproductive System

Alternatives

Glossary of Terms