Reproductive Surgery
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Reproductive surgery is using
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
in the field of
reproductive medicine Reproductive medicine is a branch of medicine concerning the male and female reproductive systems. It encompasses a variety of reproductive conditions, their prevention and assessment, as well as their subsequent treatment and prognosis. Reprodu ...
. It can be used for contraception, e.g. in
vasectomy Vasectomy, or vasoligation, is an elective surgical procedure for male sterilization or permanent contraception. During the procedure, the male vasa deferentia are cut and tied or sealed so as to prevent sperm from entering into the urethra and ...
, wherein the
vasa deferentia The vas deferens or ductus deferens is part of the male reproductive system of many vertebrates. The ducts transport sperm from the epididymis to the ejaculatory ducts in anticipation of ejaculation. The vas deferens is a partially coiled tube w ...
of a man are severed, but is also used plentifully in
assisted reproductive technology Assisted reproductive technology (ART) includes medical procedures used primarily to address infertility. This subject involves procedures such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), cryopreservation of gametes o ...
. A reproductive surgeon is an
obstetrician-gynecologist Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and ...
or
urologist Urology (from Greek οὖρον ''ouron'' "urine" and ''-logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive organ ...
who specializes in reproductive surgery.


In assisted reproductive technology

Reproductive surgery is used for treating e.g.
fallopian tube obstruction Fallopian tube obstruction, also known as fallopian tube occlusion is a major cause of female infertility. Blocked fallopian tubes are unable to let the ovum and the sperm converge, thus making fertilization impossible. Fallopian tubes are also kno ...
and
vas deferens obstruction Male infertility refers to a sexually mature male's inability to impregnate a fertile female. In humans it accounts for 40–50% of infertility. It affects approximately 7% of all men. Male infertility is commonly due to deficiencies in the semen, ...
, or reversing a ''vasectomy'' by a
reverse vasectomy Reverse or reversing may refer to: Arts and media * ''Reverse'' (Eldritch album), 2001 * ''Reverse'' (2009 film), a Polish comedy-drama film * ''Reverse'' (2019 film), an Iranian crime-drama film * ''Reverse'' (Morandi album), 2005 * ''Reverse'' ...
. ''Surgical sperm retrieval'' is an alternative means of
semen collection Semen collection refers to the process of obtaining semen from human males or other animals with the use of various methods, for the purposes of artificial insemination, or medical study (usually in fertility clinics). Semen can be collected via ...
, where other means are not possible, e.g. in
posthumous sperm retrieval Posthumous sperm retrieval (PSR) is a procedure in which spermatozoa are collected from the testes of a human corpse after brain death. There has been significant debate over the ethics and legality of the procedure, and on the legal rights of the ...
.


Trends

Albeit an increase in overall use of
assisted reproductive technology Assisted reproductive technology (ART) includes medical procedures used primarily to address infertility. This subject involves procedures such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), cryopreservation of gametes o ...
(ART), surgeries on the fallopian tubes and ovaries have decreased. Reproductive surgery in women has largely been complementary to other ART methods such as medication, except for in tubal infertility, where surgery remains the main treatment.


References

{{DEFAULTSORT:Reproductive Surgery Assisted reproductive technology Surgery Human reproduction