Tubal & Uterine Surgery
Infertility may be caused by congenital or acquired abnormalities in the fallopian tube or uterus reducing the ability of the embryo to transport itself to the uterus or to fail to implant in the uterus.
What Could Cause An Abnormality?
- Abdominal surgery.
- Sexually transmitted infections such as chlamydia and gonorrhoea.
- Previous sterilization (tubal clips or ligation).
How Can Abnormalities Be Repaired?
Abnormalities may be repaired by surgery.
Surgery can be done in one of two ways (laparoscopy or laparotomy).
During a Laparoscopy a small camera attached to a thin telescope is inserted through a small incision made within or just below the lower edge of the umbilicus. Laparoscopy requires admission to hospital and is performed under general anaesthetic. For further information, please visit the Royal Australian and New Zealand College of Obstetricians and Gynaecologists website.
A traditional open procedure, called a laparotomy, also may be used. In this procedure, the surgery is performed through an incision made in your lower abdomen.
Surgery Performed At Flinders Fertility
Tubal and uterine surgery performed at Flinders Fertility include:
- Laparoscopy and dye insufflations. Laparoscopy and dye insufflations are used to assess tubal function. A blue dye (methylene blue) is injected into the cavity of the uterus. A laparoscope is then introduced into the abdominal cavity and the uterus, tubes, ovaries and neighbouring organs are inspected.
- Salpingostomy. If your tubes are blocked and there is no gross distension or distortion of the tubes, an operation (salpingostomy) can be performed to open the blocked ends. Salpingostomy operations may be carried out by laparoscopy or as an open abdominal operation through a low “bikini” incision.
- Tuboplasty. Tuboplasty is a procedure involving the repair or reconstruction of the fallopian tubes to achieve a pregnancy in women with tubal infertility. This encompasses the most common technique of neosalpingostomy. Neosalpingostomy is used to reverse sterilisation.
- Adhesiolysis. Adhesions (scar tissue) may form within the body, usually within the abdomen after surgery as part of the healing process. They can also develop after infection or any other inflammatory process such as endometriosis. Adhesions can cause infertility in women. Adhesiolysis is the surgical division of adhesions, usually by laparoscopy.
- Hysteroscopy. Hysteroscopy is a procedure used to examine the inside of the uterus (womb). It is carried out using a hysteroscope, which is a narrow tube with a telescope at the end. A hysteroscopy can be used to help diagnosis cases where a woman’s symptoms suggest that there may be a problem with the womb including infertility. A hysteroscopy can also be used to remove abnormal growths from the womb such as fibroids, polyps, intrauterine adhesions and uterine septa.
What Are The Possible Risks Of Tubal and Uterine Surgery?
- A tubal (ectopic) pregnancy. A tubal (ectopic) pregnancy is a pregnancy that occurs outside the womb (uterus).
- Possibility of bleeding.
- Damage to other organs.
- Reaction to the anesthesia.
For further information, please visit the Royal Australian and New Zealand College of Obstetricians and Gynaecologists website.
The various fees involved with tubal and uterine surgery can be high. Thankfully, at Flinders Fertility patients will be bulk billed for tubal and uterine surgery.
For more information, please go to our General Fees page.
Find Out More
At Flinders Fertility we recognise that a website may not cover all your information requirements. That's why we offer a number of information options. So, if you want to find out more about tubal and uterine surgery, either:
- Call on 131 IVF (131 483) to talk to one of our Fertility Specialists.
- Email us at firstname.lastname@example.org.
- Seek a referral to Flinders Fertility from your Doctor.
If you require the aid of an interpreter please let us know, as well as any specific regional dialect that you may require.