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Surgery is often useful before IVF/ICSI to make ART possible, to improve its success rate and/or reduce its risks. In azoospermic man different techniques allow to look for sperm needed for ICSI. Bariatric surgery is sometimes a prerequisite in case of morbid obesity. Benefice of laparoscopy is limited for minimal and mild endometriosis. Excision of endometriomas before IVF does not improve its results and may damage ovarian reserve. IVF/ICSI is more efficient after resection of colorectal or bladder endometriosis, but complications are possible. When it is decided, polycystic ovaries drilling should be done cautiously to avoid damaging the ovaries. Hydrosalpinx should be treated before IVF/ICSI, preferably by laparoscopic salpingectomy. For intramural fibroids without distortion of the cavity, myomectomy before IVF/ICSI should be discussed case by case. On the other hand, there is a consensus in favor of a wide use of hysteroscopy for all significant uterine cavity abnormalities. [ABSTRACT FROM AUTHOR]

Abstract: Tubal diseases are a common cause of female infertility. Among them, hydrosalpinges are frequent. In addition, the presence of hydrosalpinges is a factor of failed attempts at in vitro fertilization (IVG). It is now well recognized that the management of hydrosalpinges prior attempts to medically assisted procreation increases the chances of pregnancy. Nowadays, laparoscopic salpingectomy is the treatment of choice but this therapeutic approach is not consensual and several other surgical techniques have been proven in this indication. Among these, the exclusion of hydrosalpinx by laying Essure® micro-inserts seems promising. Currently, seven studies have been published on the topic with generally positive results. The purpose of this article is to review the various possible methods to treat hydrosalpinx before IVF and especially to define the role of Essure® micro-inserts. [Copyright &y& Elsevier]