Endoscopic Surgery
Your Journey to Restore Fertility
Endoscopic surgery uses specialised optical instruments to see inside the pelvis or uterus and perform surgery through tiny incisions. Instead of large cuts, only a few small openings are needed, which means less pain, faster recovery, and minimal scarring compared to traditional surgery.
For fertility patients, this approach is especially valuable because it allows doctors not only to diagnose but also to treat conditions that may be standing in the way of pregnancy.
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At George Fertility Clinic, we aim to perform all our gynaecological surgeries through an endoscopic route. There are two main types of endoscopic surgery:
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Laparoscopy, which looks at the pelvic and abdominal organs.
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Hysteroscopy, which looks directly into the uterus
What to expect from endoscopic surgery
Every patient’s journey is unique. Before surgery, you will meet with your doctor to discuss your symptoms, undergo necessary scans or tests, and receive detailed information about the procedure.
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Surgery is performed under anaesthesia, with most patients experiencing little discomfort afterwards. Recovery is usually fast, with patients going home the same day or after a short hospital stay. For smaller procedures, many women return to normal activities within a few days, while more extensive surgeries, such as a hysterectomy, may require a week or two of recovery.
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Follow-up appointments will be arranged to monitor healing, discuss results, and plan the next steps in your fertility journey if needed.
What is Laparoscopy?
Laparoscopy involves inserting a slim, telescope-like camera through the belly button, giving doctors a magnified view of the reproductive organs. Through a few small openings, delicate instruments are used to diagnose and treat conditions that could be linked to infertility or pelvic pain.
When is it recommeneded?
Laparoscopy is often advised when imaging tests, such as ultrasound, are not sufficient to explain symptoms like pelvic pain or infertility. It can also be used when surgical treatment is already known to be required.
Common procedures performed laparoscopically include:
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Treating adhesions (scar tissue): Previous abdominal or pelvic surgery, such as appendicitis or caesarean section, can cause scar tissue to form. These adhesions may “stick” organs together, causing pain or even blocking the fallopian tubes, which prevents sperm and egg from meeting. Laparoscopic surgery allows surgeons to carefully release these adhesions, restoring normal anatomy and improving fertility.
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Endometriosis treatment: Endometriosis occurs when tissue like the uterine lining grows outside the uterus, often causing pain and infertility. Laparoscopy is the gold standard for both diagnosing and removing this tissue. Treating endometriosis can reduce pain and increase the chances of pregnancy.
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Ovarian cyst removal (cystectomy): Ovarian cysts can interfere with ovulation or cause pain. Laparoscopic surgery allows the cyst to be removed while preserving healthy ovarian tissue, protecting future fertility.
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Fibroid removal (myomectomy): Fibroids are non-cancerous growths of the uterus. When large fibroids press on the uterine cavity, they can affect implantation and pregnancy. Through laparoscopy, fibroids can be removed, and the uterus carefully repaired, giving women a better chance at carrying a pregnancy.
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Caesarean section scar or uterine niche repair: Sometimes, a caesarean section leaves a “niche” or thin area in the uterine muscle. This can cause spotting between periods and make it harder to get pregnant. Laparoscopic surgery allows doctors to repair the muscle, restoring the normal shape and strength of the uterus.
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Tubal procedures: Laparoscopy can check if the fallopian tubes are open by injecting dye and observing its flow. It can also reverse a previous sterilisation in some cases, reconnecting the tubes to allow natural conception.
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Treating ectopic pregnancy: When a pregnancy grows outside the uterus, usually in the fallopian tube, it cannot continue. Laparoscopy allows safe removal of the ectopic tissue while preserving fertility whenever possible.
What is Hysteroscopy?
Hysteroscopy is performed by passing a very thin telescope through the vagina and cervix into the uterus. This procedure requires no abdominal cuts and gives doctors a direct view of the uterine cavity. It is often done as a day procedure, allowing patients to go home the same day.
When is it recommeneded?
Hysteroscopy is commonly used when women experience abnormal uterine bleeding, recurrent miscarriages, unexplained infertility, or when imaging tests suggest a uterine abnormality. It can also be used to safely remove a dislodged or embedded intrauterine device (IUD).
Conditions treated by hysteroscopy include:
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Treating intrauterine adhesions (Asherman’s Syndrome): Scar tissue inside the uterus can form after infection or procedures such as a miscarriage evacuation. These adhesions can block the uterine cavity and make it difficult for an embryo to implant. Hysteroscopy allows surgeons to carefully cut away the scar tissue, often restoring normal periods and improving fertility.
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Removing fibroids and polyps: Growths inside the uterus, such as polyps or submucosal fibroids, can cause abnormal bleeding and interfere with implantation. With hysteroscopy, these can be removed safely and effectively, often with only a few hours of recovery needed.
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Correcting a uterine septum: Some women are born with a wall-like structure inside the uterus, called a septum. This can increase the risk of miscarriage or infertility. Hysteroscopic surgery gently removes the septum, creating a normal uterine cavity.
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Removing retained tissue after miscarriage: Sometimes, tissue remains in the uterus after a miscarriage, which can cause bleeding or infection. Hysteroscopy allows for complete removal under direct vision, reducing complications and preparing the uterus for a future pregnancy.
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Investigating and treating abnormal bleeding: When the cause of heavy or irregular bleeding is unclear, hysteroscopy allows doctors to look directly inside the uterus and treat the underlying condition at the same time.
Why choose us?
We are committed to offering the latest in minimally invasive surgery. Our team combines advanced equipment with years of expertise to provide the safest and most effective treatment options. We know surgery can feel daunting, so we ensure patients receive compassionate support before, during, and after the procedure.
At George Fertility Clinic, your care is personal, precise, and designed to give you the best chance at improved health and fertility.
