There are a number of reasons microsurgery may be suggested. An operating microscope will be used to repair very small structures or obstructions, such as blockages in the fallopian tubes, or reversing a vasectomy. In women and men, these procedures are sometimes needed before trying to conceive naturally, or starting other fertility treatment.

Usually, microsurgery is performed as a day procedure. If you are scheduled to have microsurgery, you will need about a week to recover after the procedure.

Female microsurgery

The most common microsurgery procedures I perform for women are:

  • Reversing sterilisation (tubal ligation reversal), which offers a very good chance for women aged under 38 to become pregnant after reversal

  • Re-opening blocked fallopian tubes (salpingostomy)

  • Removing scar tissue around the uterus and tubes (adhesiolysis)

Male microsurgery

If you have a very low sperm count, or no sperm at all (azoospermia), microsurgery can help to correct problems or to retrieve sperm for intracytoplasmic sperm injection (ICSI).

The most common procedures for men are:

  • Vasectomy reversal (vasovasostomy) by re-joining the two cut ends of the vas deferens

  • Sperm retrieval for ICSI, where there is an absence of sperm in the semen

  • Bypassing a blockage in the epididymis