Preparation for a Healthy Pregnancy

Surgical Procedures

Fertility surgery is one of the many options that may come up in the development of your treatment plan. Surgery is often helpful in maximizing your chance of having a healthy pregnancy. Most of the surgeries we perform are minimally invasive, allow you to return home the same day, and have a rapid recovery time.

Fertility Surgeries for Female Patients



A small camera is placed inside the uterine cavity via the vagina, allowing the surgeon to remove fibroids, polyps, scar tissue, or a uterine septum. There is no need to make any incisions during this procedure.

Laparoscopy and Robotic Laparoscopy

Small incisions are made on the abdomen and your doctor will be able to remove fibroids, ovarian cysts, abnormal fallopian tubes, scar tissue, and endometriosis. SRM physicians perform these surgeries at regional area hospitals.

Laparotomy/Open Surgery

A larger incision on the lower abdomen (similar to a cesarean section type of incision) may be necessary to safely perform your surgery. This can be the case when removing fibroids, very complicated endometriosis, and for tubal reanastamoses (reconnecting previously surgically blocked fallopian tubes). A 1–2 night hospital stay is typical for these types of surgeries.

Egg Retrieval

The procedure to remove eggs from a woman’s ovaries is routinely used for patients undergoing IVF or egg freezing. Ultrasound is used to guide a small needle into the ovaries. Fluid in the follicles is aspirated through the needle, the eggs detach from the follicle wall and are removed from the ovary.

Tubal Reversal Surgery

A 2-3 hour surgical procedure done in the operating room under general anthesthesia with an overnight stay at the hospital, discharge home with oral pain medications and a quick home recovery period. Our physicians are experts in this procedure by their extra training in microsurgery.

Fertility Surgeries for Male Patients


FNA Mapping

Fine Needle Aspiration (FNA) is a sperm mapping procedure used to “map” out the location of sperm in the testis. The technique is designed to benefit severely infertile men.


Dilated veins in the testicle can affect sperm quality. Your reproductive urologist will surgically remove or ligate the dilated veins via a very small incision in the groin area.

Vasectomy Reversal

(Vasovasostomy or Vasoepididymostomy)
The surgically separated vas deferens are reconnected via a small incision made on the testicle, allowing sperm to return to the seminal fluid.

Sperm Retrieval

Depending upon the specifics of your case, your surgeon may need to perform a surgical procedure in order to make sperm available for conception, as opposed to traditional ejaculation. Sperm can be retrieved directly from the testicle via a small incision. A larger incision is sometimes required in cases where there are few sperm and they are hard to locate.