Technique Indication Benefits Drawbacks Percutaneous epididymal sperm aspiration (PESA) Obstructive Azoospermia Quick, repeatable, less costly, low morbidity, no microsurgical expertise or surgical exploration required Cryopreservation limited as less numbers of…
Adhesions <1/3 enclosed 1/3–2/3 enclosed >2/3 enclosed Right ovary Filmy 1 2 4 Right Dense 4 8 16 Adnexa Right tube Filmy 1 2 4 Dense 4a 8a 16 …
Fig. 1.1 HSG features of distal tubal disease. (a) Bilateral distal tubal obstruction with hydrosalpinx, the left being more obvious than the right side; (b) Proximal tubal blockage affecting the…
Fig. 12.1 An enlarged uterus due to a 8 cm deep anterior wall intramural/submucosal fibroid Harmonic scalpel, monopolar diathermy attached to a hook or scissors, plasma energy or laser may…
Fig. 19.1 Myomectomy technique Whether treatment with GnRh agonist before myomectomy offers any significant advantage is still a matter of debate. Benefits claimed include the following: resolution of preoperative anemia…
Fig. 18.1 Traditional classification of congenital uterine anomalies as described by the American Fertility Society (From AFS [8], with permission) However, since that classification, a plethora of publications appeared in…
Fig. 13.1 (a) Axial MRI (T2 weighted), (b) Coronal maximum intensity projection of contrast enhanced MR Angiogram pre-embolisation shows enlarged uterine arteries, and (c) post embolisation shows reduction in size…
Fig. 11.1 Bonney’s myomectomy clamp (Adapted from Bonney [13], with permission) Fig. 11.2 Application of Bonney’s myomectomy clamp (Adapted from Bonney [13], with permission) Preoperative Assessment Comprehensive pre-operative assessment is…
Fig. 20.1 Septate uterus and its variants according to the new ESHRE/ESGE classification system (From Grimbizis et al. [14], with permission) Septate uterus is further subdivided in partial septate (Class…
Fig. 15.1 Placement of a laparoscopic adjustable gastric band Average weight loss achieved following gastric banding is approximately 50 % of excess body weight loss [9], which although successful, is…
