Microsurgery For Fertility Specialists

Microsurgery for Fertility Specialists is an invaluable resource for physicians who specialize in the surgical treatment of male and female infertility. This practical text explains the basics of microsurgery and provides detailed operative descriptions of surgical procedures such as vasectomy reversal, sperm retrieval, tubal reanastomosis, and penile surgery. An exceptional cadre of reproductive specialists shares valuable knowledge of the current state of microsurgery, its role in infertility procedures, and the latest advances in the field --including some non-infertility microsurgical techniques. The book is an essential educational guide for those with a more advanced knowledge of microsurgical practice as it includes chapters that will help them mentor residents and fellows, and inspire future generations of reproductive surgeons.

Infertility affects approximately 15% of couples attempting to conceive, and male factor is known to be either the primary or a contributing factor in at least half of all cases of couple infertility. More than half of male infertility is amenable to microsurgical treatment, but a majority of urology residency programs provide little or no training in male infertility or its microsurgical treatment. Textbooks typically include a chapter or two on surgery of male infertility, but often these chapters only cover basic concepts and simplified overviews and miss the many finer points that are only taught by observing or scrubbing directly in the operating room. Utilizing Dr. Marc Goldstein's extensive surgical experience, this atlas focuses primarily on microsurgical techniques for restoring and preserving male fertility. The chapters discuss surgical anatomy and diagnosis, microsurgery of the vas deferens and epididymis, varicocele and other fertility-related procedures. Topics and techniques include vasectomy, vasovasostomy, vasoepididymostomy, varicocelectomy, hydrocelectomy, and microsurgically assisted inguinal hernia repair. Equipment, instrumentation and training in microsurgery, including animal models, are also discussed. In each chapter, practical tips and tricks are highlighted. Enhanced by plentiful intraoperative photos and original illustrations, Atlas of Male Infertility Microsurgery is an essential resource for male reproductive surgeons, urologists, residents and fellows.

While this world eagerly awaits the ideal contraceptive technique that could efficiently, safely, and esthetically save this planet from the starvation and squalor of over crowding and offer women control over their reproductive capacity, the individual faced with the frustration, even des peration, induced by infertility begs for help in achieving the desired conception. The discipline of gynecology and obstetrics, recogniz ing the importance of these problems and the need for spe cial expertise in reproductive endocrinology and its atten dant clinical challenges in fertility and infertility, has now formalized the training of specialists in this area of scientific knowledge in a further effort to advance the skills of diag nosis and treatment attendant on these complex problems. Slowly but steadily, as befits the complexity of the endocrine and metabolic pathways involved, the scientific basis of reproductive physiology has been revealed by the research of physicians, biochemists, and physiologists. It is clear that no significant clinical advance can be made with out the foundation of such new knowledge. Indeed, the successful treatment of infertility resulting from failure of ovulation was based on just such a scientific advance.

Microsurgery for Fertility Specialists is an invaluable resource for physicians who specialize in the surgical treatment of male and female infertility. This practical text explains the basics of microsurgery and provides detailed operative descriptions of surgical procedures such as vasectomy reversal, sperm retrieval, tubal reanastomosis, and penile surgery. An exceptional cadre of reproductive specialists shares valuable knowledge of the current state of microsurgery, its role in infertility procedures, and the latest advances in the field --including some non-infertility microsurgical techniques. The book is an essential educational guide for those with a more advanced knowledge of microsurgical practice as it includes chapters that will help them mentor residents and fellows, and inspire future generations of reproductive surgeons.

While this world eagerly awaits the ideal contraceptive technique that could efficiently, safely, and esthetically save this planet from the starvation and squalor of over crowding and offer women control over their reproductive capacity, the individual faced with the frustration, even des peration, induced by infertility begs for help in achieving the desired conception. The discipline of gynecology and obstetrics, recogniz ing the importance of these problems and the need for spe cial expertise in reproductive endocrinology and its atten dant clinical challenges in fertility and infertility, has now formalized the training of specialists in this area of scientific knowledge in a further effort to advance the skills of diag nosis and treatment attendant on these complex problems. Slowly but steadily, as befits the complexity of the endocrine and metabolic pathways involved, the scientific basis of reproductive physiology has been revealed by the research of physicians, biochemists, and physiologists. It is clear that no significant clinical advance can be made with out the foundation of such new knowledge. Indeed, the successful treatment of infertility resulting from failure of ovulation was based on just such a scientific advance.

"The Society for Reproductive Surgeons (SRS) is one of the few societies in the world dedicated solely to female and male reproductive surgery. It is therefore fitting that SRS write the comprehensive manual for modern surgical procedures for treating female and male infertility. All contributing authors are SRS members and are highly recognized authorities in their respective areas of expertise. It is our intention that this book illustrates the benefits of reproductive surgery, as well as how to perform these procedures using the latest advances, so practitioners can offer their patients all of the current treatment options in this competitive field"--Provided by publisher.

​​To many patients and indeed health care professionals, IVF is the ultimate treatment for infertility. However in many cases IVF is not feasible and may not be indicated. IVF remains a largely inefficient procedure that often does not succeed in a achieving a pregnancy. There remains a strong place for other fertility interventions, many of them surgical in nature. Surgical interventions can be used as a stand-alone fertility treatment or as an adjuvant treatment used in conjunction with other assisted conception treatments. Despite the continuing use of such techniques by reproductive surgeons, there remains a clear gap in the literature regarding resources to supplement formal training in the field or to provide a reference for established and aspiring practitioners.

A complete update of a classic. Dr. Silber is the preeminent expert in the field of male and female fertility problems. He has appeared on "Oprah, the "Today show, Good Morning America, ABC's World News Tonight, Nightline, and was featured on Discovery Health's documentary program on infertility, "The Baby Lab, and many other national programs. The media world will eagerly welcome Dr. Silber to discuss the latest developments in infertility treatment.