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Onco-Fertility Sparing Surgery in Bhubaneswar

Onco-Fertility Sparing Surgery

Onco-Fertility Sparing Surgery in Bhubaneswar

Fertility-sparing Surgery is the surgical removal of one of the ovaries from a woman’s body. The aim is to preserve the organ's functionality. It is an option for those women who want to have children in the future and who have been diagnosed with ovarian cancer in the past. For this procedure, the gynaecologist removes the cancerous ovary and connects the fallopian tube to the uterus. This is a safe option for confirming that the cancer has not spread beyond the ovaries. To confirm the cancer spread, other samples are also taken from the lymph nodes, abdomen, and omentum. Cervical Colonisation, Simple Trachelectomy, and Radical Tracheostomies are a few options for fertility-sparing surgery. Visit our expert surgical oncologists in Bhubaneswar for the best onco-fertility sparing surgery in Bhubaneswar.

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FAQ's

This type of surgery is done to avoid infertility cases. Fertility in women can be affected by a single cancer therapy session, so to avoid infertility, these types of surgeries are carried out.

Fertility-sparing Surgery is not always the appropriate option for every woman. To make sure this surgery will have successful outcomes, the patient's entire medical history must be considered, along with her physical examinations, diagnostic tests, etc., before considering any surgery options. Detailed information about the type and severity of the patient’s cancer type and gynaecological condition needs to be checked.

The fertility preservation options are:

  • Cervical Colonisation: Here, a piece of the cervix that is a cone-shaped portion is removed.

  • Ovarian Cystectomy: This surgical process precisely removes ovarian cysts without causing any damage to surrounding ovarian tissues.

  • Radical Trachelectomy: In this surgery, an upper two-centimetre portion of the vaginal cuff is removed. This process helps in the preservation of the uterus and ovaries.

  • Unilateral Salpingo-oophorectomy: Here, only one ovary and one fallopian tube are surgically removed to avoid the spread of cancer.

Ideal candidates for Onco-fertility Sparing Surgery are individuals of reproductive age who have been diagnosed with cancer and wish to preserve their fertility while undergoing cancer treatment. These individuals may have a good prognosis for cancer treatment and are expected to survive long-term. They should have tumours that are amenable to surgical removal while preserving reproductive organs or function. Additionally, they should have an adequate ovarian reserve and a realistic understanding of the potential risks and benefits of fertility preservation options.

Yes, ovarian cancer and its treatment can affect fertility. When a woman undergoes treatment for ovarian cancer, it often involves the surgical removal of one or both ovaries (Oophorectomy) and sometimes the uterus (Hysterectomy) as well. These surgeries can result in infertility, as they eliminate the woman's ability to produce eggs and carry a pregnancy. Certain types of Chemotherapy used to treat ovarian cancer can damage the ovaries and impair their function, causing temporary or permanent infertility. Radiation Therapy directed at the pelvic area can also affect the ovaries and reduce fertility.

If you have been diagnosed with cervical cancer and are willing to go for family planning in the future, you need to consult a gynaecologist for advice. Cervical cancer's early stages, that is, stages IA1, IA2, and IB2, affect fertility in women. If cervical cancer is not treated well, it will directly affect your fertility, and you will not be able to get pregnant in the future.

For patients who require Radical Hysterectomy or primary Chemoradiation, fertility preservation is possible with only a few surgical options, such as oocyte, embryo, or ovarian tissue cryopreservation, as well as the new technique of ovarian transposition. These patients can only go for pregnancy via surrogacy. 

If cervical cancer is diagnosed in the early stages, then a woman may have a good 5-year relative survival rate of 91%. When the diagnosis of cervical cancer takes place after it has spread across the tissues and organs, the survival rate decreases to only 60%.

Doctors don’t remove all of the cervix; they leave behind the internal opening to allow blood to escape during the menstrual bleeding. The stitch is strong enough to support a growing baby in the future, but the delivery needs to be done via caesarean section.

Cervical cancer is most commonly diagnosed in women aged 35 to 44 years. Fertility-sparing options are an important part of pre-treatment counselling. Patients who are suitable candidates for Fertility-sparing surgery may opt for Cervical Colonisation, Simple Trachelectomy, or Radical Trachelectomy.

It is important to understand that women who have taken a Radical Hysterectomy treatment option for cervical cancer have higher chances of cancer recurrence and, thus, higher chances of death from cancer. Therefore, Radical Hysterectomy through an abdominal incision is preferred and considered the best surgery option in most cases. Laparoscopic surgery is still one of the good options for women who have early-stage cancer.

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