While the word surgery might seem scary, at Missouri Fertility you are in the best hands! Dr. Wilshire and his surgical nurse Kim are an amazing duo that have performed over a thousand surgeries together. Surgery can be used to repair and restore the body ensuring it is in the best condition for pregnancy. Most obstetric and gynecology doctors can preform some of the same surgical procedures, but Dr Wilshire and Kim are focused on preserving your fertility. This focus is what makes them such a unique and successful surgical team.
LAPAROSCOPY A small incision at the naval allows instruments to evaluate the abdomen and/or pelvis. If the physician locates an abnormality, additional small incision(s) may be required in the low pelvis to allow additional instruments access to the problem and repairs to be made. Laparoscopic treatments include the repair and removal of tubal obstruction, pelvic endometriosis and/or adhesions; ovarian cysts, ectopic pregnancy, and more.
ENDOMETRIOSIS Sometimes surgery is required to help reduce or eliminate the symptoms of endometriosis. Various surgeries can be performed; however, the most common is an operative laparoscopy. Because surgery to any part of the reproductive system can effect fertility, it is imperative that the surgeon who does your surgery be experienced with advanced endoscopic techniques!
Most gynecologists are happy to do laparoscopies, but the quality of the results vary tremendously. Ask your surgeon if they have much experience with aggressively “cyto-reducing” endometriosis lesions. In English: can they go in and get the vast majority of the disease the first time without compromising your fertility? Do they have the skill to remove the disease wherever it may be found? Learn More
MYOMECTOMY Fibroids (leiomyomas) are noncancerous growths in the uterus. These growths can cause heavy bleeding if they are in the inside of the uterus. They can also block the fallopian tubes making it difficult to conceive. Removal of these fibroids is called a myomectomy and can be done either by a minimally invasive laparoscopy or hysteroscopy, or a laparotomy (an open procedure requiring a larger abdominal incision). Consult you physician to inquire which option would be recommended for your specific case.
HYSTEROSCOPY A procedure that involves insertion of a narrow telescope-like instrument through the vagina and cervix into the cavity of the uterus (endometrial cavity). The uterine cavity is then distended with fluid and visualized. This procedure allows us to diagnose and correct any defects such as fibroid tumors, polyps, scar tissue, a uterine septum, or other uterine abnormalities inside the cavity. Hysteroscopic treatments include the repair and/or removal of intrauterine adhesions, polyps, fibroids, uterine septum and tubal catheterization for tubal obstruction.
REPAIR OF CONGENITAL ABNORMALITIES A Bicornuate Uterus is when two uteri share a single cervix and vagina. This can cause painful periods if the cervix does not allow blood to flow through and can be corrected with surgery.
A Septate Uterus is when there is a fibrous band of tissue going through the uterus. This fibrous band can be removed by your physician via a minimally invasive hysteroscopy.
REVERSAL OF FEMALE STERILIZATION Mid-Missouri Reproductive Medicine & Surgery has extensive experience performing microscopic tubal reversals. Dr. Wilshire has been personally performing this procedure for over 20 years using microsurgical techniques, in which microscopes or loupes visualize and bring together the narrow hollow center portion of the fallopian tubes. Microsurgery also uses very thin suture materials, the smallest possible incisions, specially designed instruments and non-traumatic tissue handling techniques. Our patient's recover at Boone Hospital Center with an overnight stay which allows us to use intravenous pain killers to maximize post-operative comfort.
Our success rates are excellent and our fees are competitive with those around the nation. Since our facility is a full-service infertility program, we will make treatment suggestions based on your personal, unique situation. We will never push you into microsurgery or IVF (an alternative to tubal reversal). We present the pros and cons of each option and rely on you to make the final treatment decisions.