Minimally Invasive Surgery

Laparoscopy is a minimally invasive surgical procedure that allows our infertility experts to clearly view the condition of a woman’s reproductive organs. It is an effective way to diagnose or treat certain causes of infertility, including:

Endometriosis is the presence of tissue usually found in the lining of the uterus (the endometrium) in sites outside the uterus. Endometriosis is a frequent cause of infertility, pain with menses (dysmenorrhea), pain with intercourse (dyspareunia) and premenstrual spotting.

Ovarian cysts: Fluid filled structures on the ovary that can cause pain.

Adhesions are scar tissue that holds two structures together. Adhesions can be in the pelvis, in which case they are often caused by endometriosis or infection. A frequent cause of infertility. Usually corrected by laparoscopic surgery.

Fibroids, also called myomas, are benign tumors found in the muscular wall of the uterus. Fibroids cause uterine enlargement, heavy and abnormal vaginal bleeding, bladder pressure, need for frequent urination and pelvic pain. Fibroids can play a role in infertility and miscarriage.

Ectopic Pregnancy is a pregnancy found in a location outside the uterus. Occurs almost exclusively in the fallopian tube. Can be treated by laparoscopy or with a medication called methotrexate.

Fallopian Tube: Thin elongated structure running from the uterine cavity to the ovary. Fertilization occurs in the ampullary portion (end) of the fallopian tube. Fallopian tubes may be blocked (hydrosalpinges) as a consequence of sexually transmitted infections, endometriosis or prior surgery. Blocked or damaged tubes can cause infertility.

Performed in an outpatient surgical setting, laparoscopy usually takes between one and three hours to perform, and requires general anesthesia.

Robotics Surgery at RMA of Philadelphia and Central Pennsylvania

RMA of Philadelphia and Central Pennsylvania offer the latest and most advanced infertility treatment procedures, including robotics surgery for our patients requiring tubal surgery or other laparoscopic procedures. Robotics helps achieve maximum results while reducing recovery time and maintaining patient comfort and convenience.

Dr. Ben Gocial is one of only a select few Reproductive Endocrinologists trained in robotics surgery. Robotics techniques help to optimize the outcome of many surgical procedures, and may eliminate the need for additional treatment options, such as IVF.

For more information about robotics surgery at RMA, please contact us at