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FERTILITY SURGERY

Valentine Akande is an experienced and internationally recognised Fertility Surgeon. He has organised several master classes for fertility surgery and lectured and taught other surgeons in the UK and around the world. Using advanced laparoscopic techniques means less pain, a quick recovery and in most cases only one night in hospital

Reversal of sterilisation

Valentine Akande is one of the few surgeons in the UK who still undertakes this procedure and trains others as well.

Asherman’s syndrome

Valentine Akande has had several successes in treating women with Asherman’s syndrome use both medication and surgery, such as hysteroscopic adhesiolysis

Endometrial polyps

Polyps can cause irregular bleeding and spotting. Uterine polyps can be easily removed by Valentine Akande using hysteroscopy which is a minor operation.

Uterine septum

Uterine abnormalities such as a uterine septum may affect fertility and increase the risk of miscarriage. Resection by hysteroscopy can improve your chances of success.

Cervical dilatation

Where embryo transfers for IVF or ICSI have been difficult, cervical dilatation and hysteroscopy can improve your chances of success

Laparoscopy

A Fertility laparoscopy is an examination of your pelvic organs (e.g. fallopian tubes, ovaries, womb and bowel) using a narrow, telescope called a laparoscope. The telescope is inserted through small cuts on your abdomen.

Laparoscopes send pictures of your internal organs to a video screen. We will view these to find out what is causing your gynaecological symptoms (diagnostic laparoscopy).

It is the best way to assess the Fallopian tubes and pelvis for your fertility. The tubes are checked with a special dye for blockage to see if this may be causing fertility problems.

It is particularly indicated in women who have had pelvic infections, sexually transmitted infections, previous surgery in the abdomen or pelvis which may cause scar tissue, as well as in women with pelvic pain who may have endometriosis

The technique can also be used to perform most operations (operative laparoscopy), such as ovarian diathermy for PCOS, removal of ovarian cysts, treatment for endometriosis, ectopic pregnancy, removal of fibroids, adhesions and repair of blocked tubes.

The Laparoscopy test or treatment is normally carried out as a day-case procedure, requiring no overnight stay, and is usually performed under general anaesthesia. This means you will be asleep during the procedure.

We will explain the benefits and risks of having a gynaecological laparoscopy investigation, and will also discuss the alternatives to the procedure.

Click here to find out more about Laparoscopy

Hysteroscopy

Click here to find out more about Hysteroscopy

Complex laparoscopic treatment

Click here to find out more about Complex laparoscopic treatment

Surgical Sperm Retrieval

In some men, sperm from the testes is not present in semen. This could be due to either a blockage or such as after a vasectomy or because of reduced sperm production.  In many of these cases sperm can be collected by surgical sperm retrieval techniques.

The procedure is carried out on the testes under local or general anaesthetic. The least invasive aspiration technique is attempted first. Sadly on occasions it is not possible to retrieve any sperm.

Any collected sperm are frozen and then used for ICSI treatment with your partners eggs. The success rate for this treatment is very similar to that of ICSI with ejaculated sperm

Techniques:

  • TESE – Testticular sperm extraction
  • PESA – Percutaneous epididymal sperm aspiration
  • MESE – Microsurgical sperm extraction