Pelviscopic Laser Surgery

A pelviscopic laser procedure involves insertion of a small, flexible scope through a small incision made near the belly button. This allows the doctor to view the abdominal and pelvic organs, such as the ovaries, uterus, and fallopian tubes.


Is laparoscopy a good procedure for women with fertility issues?

The fertility specialist may recommend pelviscopic laser surgery for women who have structural defects, such as endometriosis, scar tissue, fibroid tumors, and other abnormalities of the reproductive tissues. When defects are detected, they often are corrected using pelviscopic laser surgery.


What tests are done prior to pelviscopic laser surgery?

Because laparoscopic surgery is costly and invasive, it is not the first test used to assess and evaluate infertility. Before scheduling this test, the doctor will conduct laboratory testing, semen analysis, hysterosalpingogram, and other diagnostic tests.


Is the procedure done in the hospital or in the doctor’s office?

Pelviscopic laser surgery is often done in the hospital, but may be scheduled in an office setting. This depends on the doctor’s preference and the needs of the patient.


How much does pelvic laparoscopy cost?

Many insurance companies pay for this procedure, but it depends on the individual’s diagnosis. An average cost for in-office laparoscopy is around $7,500. One advantage to having this procedure done in the office setting is reduced cost to the patient.


How much work will I miss if I have this procedure?

In the U.S., pelviscopic laser surgery is done using general anesthesia (put to sleep). The procedure takes around 1-2 hours, depending on what has to be done. For a complicated case, the procedure could take up to 4 hours. After the procedure, you are discharged home, but must rest for 1-2 days. Most women return to work at this time, but heavy lifting and strenuous activity should be delayed for around 7 days.


What complications are associated with the pelviscopic procedure?

Complications associated with this procedure include damaged to the bladder, uterus, or ureters, blood vessel injury, infection, and bleeding. There is a slight risk for allergic reaction to medications and solutions used during the procedure.


Why will pelviscopy laser surgery be done?

Most laparoscopic procedures are used to diagnose and remove scar tissue and open fallopian tubes. The doctor can also remove cysts growing on the ovaries (endometriomas) if necessary.


How do I prepare for the laparoscopic procedure?

You must not eat or drink for 8 hours before your scheduled procedure. Notify the physician beforehand of all your medications, as certain blood thinning agents must be held. When you arrive at the surgical center, a nurse will go over the procedure and have you sign a form of consent. After changing into a gown, the nurse places an IV catheter in your arm.


How is pelviscopic laser surgery done?

Once the anesthesia takes effect, the doctor makes a few small incisions near the pelvic area and inflates the abdominal area with a carbon dioxide gas. The laparoscope is inserted to examine the organs and structures. The laser and tiny instruments are inserted through small incisions. Once repairs are made and tissues are removed, the incisions are closed using sutures.


How will I feel after the surgery?

After the procedure, a nurse will monitor your condition for around 40 minutes. Expect to have a mild sore throat due to the breathing tube used with anesthesia. This only last a few hours. Also, the incision sites will be tender for 24-48 hours, and you must keep them clean and dry. You can return to normal activities in 5-10 days, depending on the doctor’s recommendations.