Surgical Fertility Treatments on Long Island

Fertility Surgery for Women

Hysteroscopy

Hysteroscopy is a technique that is used to diagnose or treat conditions inside of the uterus that may be leading to fertility issues. This outpatient procedure involves the insertion of a thin, lighted telescope device called a hysteroscope that goes through the vagina and into the uterus. The hysteroscope transmits the image of your uterus onto a screen. Hysteroscopy can detect or treat conditions, such as:

• Fibroid tumors
• Endometrial polyps
• Intrauterine scar tissue
• A bicornuate uterus or septate uterine malformation
• Other uterine issues

Laparoscopy

This operation involves making a small incision below the navel and inserting a telescope in order to view the contents and condition of your pelvic organs. Laparoscopy can be used to treat abnormal conditions such as endometriosis, pelvic scar tissue, or diseased fallopian tubes. The goal of reproductive surgery is to restore the anatomy to as normal a condition as possible or to remove or block off structures that cannot be repaired (e.g. hydrosalpinx).

Dilation and Curettage (D&C)

During this brief outpatient procedure, the cervix is dilated and a curette instrument (suction aspiration) is used to remove tissue from inside the uterus.

Fertility Surgery for Men

Microsurgical Epididymal Sperm Aspiration (MESA)

During a MESA procedure, a small incision is made in the scrotum. The seminal fluid (semen) is aspirated from the epididymis (duct behind the testes) using an operating microscope.

Testicular Sperm Extraction (TESE)

Microsurgical TESE requires retrieval of a small piece of testicular tissue and is usually performed in patients lacking sperm production.

Both the MESA and TESE procedures are generally performed around the time that the woman’s eggs are retrieved during an IVF cycle. They are minimally invasive with a short recovery period.