Gynecological Surgery Services:
Surgery services in Royan infertility center, with experienced staff and advanced operating rooms will say welcomes to the infertile couples of all over the world.
Operating rooms of Royan center are included the gynecological operating room and the IVF operating room.
Following surgeries can be performed:
- Diagnostic and therapeutic laparoscopy. It can be used:
- Diagnose or treat hydrosalpinx
- Assess female infertility
- Diagnose or remove ovarian cysts and tumors
- Take a biopsy (a small tissue sample) for testing
- Search for the causes of abdominal or pelvic pain
- Ovarian transposition for Onco-fertility patients
Diagnostic and therapeutic hysteroscopy. It can be used:
- Investigate symptoms or problems such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding, pelvic pain, miscarriages or difficulty getting pregnant.
- Diagnose conditions such as fibroids and polyps (non-cancerous growths in the womb).
- Treat conditions and problems such as removing fibroids, polyps, septum, isthmocele, displaced intrauterine devices (IUDs) and intrauterine adhesions (scar tissue that causes absent periods and reduced fertility).
- Laparahysteroscopy
- Cervical cerclage surgery will do in pregnant patients to prevent miscarriage abortion or preterm birth
- Diagnostic curettage
- Dilation and curettage (D&C) are used to remove tissue from the inside of the uterus (curettage)
- Cervical dilatation performed at the initial visit in an IVF-ET cycle in patients with known cervical stenosis
Men’s Surgery Service:
The men’s operating room of the Royan Institute, consisting of two rooms, established in 2013. It equipped with powerful and advanced microscopes for male microsurgery, urological and andrological surgeries. Royan Institute offers the latest surgical techniques including varicocelectomy, vasectomy reversal, TURP and sperm retrieval under the supervision of the most experienced andrologists and urologists in the field of infertility.
Availability of services in men’s surgery rooms:
- Micro-Dissection TESE (MicroTESE):
Microscopic testicular sperm extraction (microTESE) is a surgical procedure performed for men with Non-Obstructive Azoospermia or severe testicular failure. During a MicroTESE, a small incision is made in the testicle which takes sperm directly from the seminiferous tubules of a man’s reproductive system with general anesthesia under the operating microscope; any sperm found reserved for in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).
Royan Institute scores top in IRAN to achieve pregnancies through the successful performance of Micro-TESE.
- Testicular Sperm Aspiration (TESA):
TESA is a minor procedure performed for men with Obstructive Azoospermia where it is expected that sperm will be found easily. TESE involves making a small incision in the testis and examining the tubules for the presence of sperm. It is either done as a scheduled procedure or is coordinated with his female partner’s egg retrieval.
- Percutaneous Epididymal Sperm Aspiration (PESA):
PESA may be performed for men with Obstructive Azoospermia, under local anesthetic, using an insulin needle inserted percutaneously into the epididymis while withdrawing on the syringe and thus, aspirating sperm. During the procedure, sperm is directly removed from the testis to be used in an IVF-ICSI cycle.
- Microsurgical Varicocelectomy:
A varicocelectomy is the most common procedure performed to removal of dilated blood vessels inside the scrotum called varicocele. Approximately 15% of the male population has varicocele and may occur the pooling of blood. It affects the circulation in the testes, changing the temperature and affecting the microenvironment of the testes. As a result, decreased sperm count, decreased motility and poor morphology may occur. With microscopic varicocele surgery, a high-powered surgical microscope is used to perform the operation and helps prevent complications (such as hydrocele) while dividing the veins contributing to the varicocele.
Royan Institute is the first center to use this Microsurgical Varicocelectomy in IRAN.
- Vasovasostomy
It is a microscopic surgery procedure to reopen tubes that have already been closed with a vasectomy. This procedure is performed with high success in Royan Institute to restore male fertility.
- A Transurethral Resection of the Prostate (TURP):
It is a surgical procedure that involves cutting away a section of the prostate. The prostate is a small gland in the pelvis only found in men. It used to treat urinary problems that are caused by an enlarged prostate.
- Hydrocele:
A hydrocele (HI-droe-seel) is a type of swelling in the scrotum that occurs when fluid collects in the thin sheath surrounding a testicle. Hydrocele is common in newborns and usually disappears without treatment by 6 to 12 months age. Older boys and adult men can develop a hydrocele due to inflammation or injury within the scrotum. If the hydrocele does not resolve on its own, then it needs to be surgically repaired to prevent further complications.