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The term "Onco-Fertility Sparing Surgery" describes surgical techniques used to treat cancer while protecting a patient's reproductive system and ability to conceive, especially in young adults and adolescents. For those whose cancer treatment may affect their capacity to have biological children, this strategy is essential.
Oncologic principles and fertility preservation strategies are balanced in Onco-Fertility Sparing Surgery. When feasible, surgeons try to remove tumours or malignant tissue without harming reproductive organs such as the uterus, testes, or ovaries. The use of fertility-sparing drugs, cryopreservation of sperm, eggs, or embryos, and cautious surgical excision are among the possible techniques.
With this specialised approach, treatment planning and execution necessitate close collaboration between a multidisciplinary team comprising oncologists, reproductive endocrinologists, and fertility experts. The goal is to treat cancer effectively while giving patients the chance to maintain their future reproductive options and fertility.
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The ability of cancer patients, particularly those who are of reproductive age, to continue having biological children after completing cancer therapy makes Onco-Fertility Sparing Surgery a significant procedure. Chemotherapy, Radiation treatment, and some types of Surgery are cancer therapies that might negatively impact fertility by causing damage to reproductive organs or causing hormonal imbalances. Patients who have surgically preserved as much of their reproductive function as feasible are more likely to meet their post-treatment reproductive aspirations.
The following people are usually good candidates for Onco-Fertility Sparing Surgery:
Adolescents and young adults who have been diagnosed with cancer need surgery.
Individuals suffering from diseases that impact the reproductive organs (such as tumours of the ovary, testicles, or uterus) or adjacent tissues.
Those receiving Chemotherapy or Radiation Therapy, for example, whose medical treatments may affect their ability to conceive.
Many tumours may be candidates for Onco-Fertility Sparing Surgery, such as:
Ovarian cancer: Methods try to remove malignant tissue while preserving a portion of one or both ovaries.
Testicular cancer: When doing surgery, the goal is to preserve the healthy testicle as much as possible.
Uterine cancer: To remove tumours while protecting the uterus, conservative surgery may be used during procedures.
Other reproductive cancers: Surgeons may customise methods to minimise damage to fertility based on the particular diagnosis and stage of the cancer.
Getting ready for the surgery involves:
Seeking advice and discussing possibilities and risks with oncologists and fertility experts
Knowing the possible effects of cancer therapy on ovulation and the preservation methods that are now accessible
Making well-informed choices based on personal preferences, future family-building objectives, and unique health conditions
Making arrangements for counselling and emotional support to address worries about the maintenance of fertility and the results of cancer therapy
Ovarian transposition: To shield the ovaries from radiation harm during cancer therapy, move them away from the radiation zone.
A partial Oophorectomy involves removing a portion of one ovary while leaving the surrounding tissue intact.
Surgery to spare the testicles: Removing tumours while leaving intact healthy testicular tissue to preserve sperm production and hormone function.
Cervical conisation: Preserving the uterus for future fertility while removing a cone-shaped portion of the cervix that contains malignant or precancerous cells.
Removing breast tumours with little tissue loss to maintain breast function and form for nursing is known as Conservative Breast Surgery.
The goal of Onco-Fertility Sparing Surgery is to save reproductive organs and function while achieving cancer-free margins. The influence on the results of cancer therapy varies based on the kind, stage, and unique characteristics of each patient. These techniques, when carried out by skilled surgical teams, can successfully cure cancer while lowering the possibility of affecting hormone balance or fertility.a
Some risks and considerations include:
Risk of cancer recurrence: To guarantee comprehensive cancer therapy, oncologic principles must be balanced with fertility preservation.
Long-term health effects: Monitoring for any potential side effects after cancer treatments or surgery is crucial.
Fertility outcomes: Depending on the degree of surgery and subsequent therapies, the success of fertility preservation attempts may vary.
Impact on the psychosocial domain: Considering the emotional and mental aspects of reproductive preservation decisions and their consequences is important.
Other options consist of:
Freezing sperm, eggs, embryos, or ovarian tissue in advance of cancer treatment to use later in assisted reproductive procedures is known as cryopreservation.
Ovarian suppression: To lower the risk of ovarian damage during Chemotherapy, ovarian function is temporarily suppressed by medication.
When natural conception is not a possibility, consider surrogacy or adoption as a post-treatment family-building alternative.
Pregnancy is possible after successful Fertility-Sparing surgery, but it may come with increased risks depending on the type of surgery performed. Close monitoring by a specialised healthcare team is often required during pregnancy.
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