Ovarian transposition

Abstract

Ovarian transposition is an option to preserve ovarian function in reproductive-aged women undergoing pelvic radiation. It is a surgical procedure that moves (or "transposes") the ovaries away from the planned radiation field to protect them from radiotoxicity. Though the surgical technique is fairly simple and highly effective with a low risk of complications, it remains underutilized, in part due to lack of familiarity with the procedure. Reproductive surgeons should review the impact of radiation on ovarian function, the range of available fertility preservation options, and the literature on anticipated fertility and pregnancy outcomes with patients considering ovarian transposition. This chapter addresses the topics relevant to the care of a patient undergoing ovarian transposition and provides detailed description of the surgical techniques.