Ovarian Transposition (Oophoropexy) in India — Fertility Preservation Before Radiotherapy
Ovarian transposition in India costs $1,800–$4,000. Laparoscopic oophoropexy before pelvic radiotherapy to preserve ovarian function and fertility. Book with Gaf Healthcare.
Estimated cost: $1,800 – $4,000 · Average stay: 1–2 days
Ovarian transposition (oophoropexy) is a laparoscopic fertility preservation procedure performed before pelvic radiotherapy in young women with gynaecological, colorectal, or pelvic cancers. By surgically relocating the ovaries out of the radiation field to the paracolic gutters or above the iliac crests, the procedure protects ovarian function — preserving natural hormone production and future fertility potential.
What Is Ovarian Transposition?
Ovarian transposition involves laparoscopically mobilising the ovaries from their normal position in the pelvis, preserving their blood supply on the infundibulopelvic ligament pedicle, and repositioning them lateral to the radiation field — typically at the level of the iliac crest or above the pelvic brim. Titanium clips mark the new ovarian position for radiation planning to ensure they are shielded. The procedure preserves hormonal function in 50–80% of women and maintains fertility for future IVF egg collection from the transposed ovaries.
Who Should Have Ovarian Transposition?
Young premenopausal women (under 40) who are to receive pelvic radiotherapy for cervical cancer, endometrial cancer, rectal cancer, Hodgkin's lymphoma with extended field radiation, or other pelvic malignancies are ideal candidates. Transposition should be performed 1–2 weeks before the start of radiotherapy. Women over 40 have lower residual ovarian reserve and lower IVF success rates from transposed ovaries.
Laparoscopic Oophoropexy Procedure
Under general anaesthesia, a laparoscope is inserted. Each ovary is mobilised along its infundibulopelvic pedicle, preserving the ovarian artery and vein. The ovary is repositioned to the paracolic gutter or iliac fossa — secured with non-absorbable sutures to the retroperitoneal sidewall. Titanium clips are applied to the upper and lower poles of each transposed ovary for radiotherapy field planning. The procedure takes 30–60 minutes.
Procedure Steps
- Laparoscopic entry — pelvis inspected
- Ovary mobilised on its infundibulopelvic pedicle
- Ovarian vessels preserved and secured
- Ovary repositioned to paracolic gutter above the radiation field
- Ovary fixed to retroperitoneal sidewall with sutures
- Titanium clips placed on transposed ovary
- Procedure repeated on contralateral ovary if bilateral transposition planned
- Radiotherapy planning coordinates provided to radiation oncology team
Cost Comparison Worldwide
Country — Range — Savings
--- — --- — ---
India — $1,800 – $4,000 — Save 75–85%
UAE — $3,000 – $6,000 — Save 60–70%
United Kingdom — $6,000 – $14,000 — Baseline
United States — $10,000 – $20,000 — —
Ovarian transposition in India costs $1,800–$4,000 as a standalone laparoscopic procedure. When combined with lymph node sampling or other staging procedures, total costs remain substantially below Western equivalents.
Recovery & Follow-up
Laparoscopic oophoropexy requires 1–2 days of hospitalisation. Mild abdominal soreness resolves within 1 week. Radiotherapy can typically begin 10–14 days after the procedure.
Recovery Tips
- Avoid strenuous activity for 1 week
- Confirm ovarian position by MRI or CT prior to radiation planning
- Monitor ovarian function with FSH and oestradiol 3 months post-radiotherapy
- IVF egg collection from transposed ovaries is possible using ultrasound-guided retrieval
Risks & Complications
Risks include torsion of the transposed ovary (<5%), vascular compromise, radiation scatter to the transposed ovary despite shielding (15–25%), and ovarian failure despite transposition. Success in preserving ovarian function is 50–80% depending on radiation field proximity.
Why GAF Healthcare
Gaf Healthcare coordinates ovarian transposition as part of comprehensive oncology care pathways, ensuring the procedure is timed correctly before radiotherapy and that radiation oncologists receive precise clip location data for field shielding.
Frequently Asked Questions
How quickly after ovarian transposition can radiotherapy begin?
Radiotherapy can begin 10–14 days after laparoscopic oophoropexy once post-operative inflammation has settled.
Does ovarian transposition guarantee preservation of fertility?
No — but it significantly increases the probability of maintaining ovarian function. 50–80% of women retain adequate ovarian function after transposition. IVF from transposed ovaries is possible with ultrasound guidance.
Can I have egg freezing instead of or in addition to ovarian transposition?
Yes. Egg or embryo freezing is a complementary fertility preservation strategy and can be combined with ovarian transposition for maximum protection. Gaf Healthcare coordinates both services at partner hospitals.
Can ovarian transposition be reversed after radiotherapy?
Yes — the ovaries can be returned to the pelvis at a later laparoscopic procedure if natural conception is desired. Success depends on the viability of the ovaries post-radiotherapy.
Is ovarian transposition available at all Gaf Healthcare partner hospitals?
Ovarian transposition is available at major cancer centres and gynaecological oncology units in Delhi, Mumbai, Chennai, Hyderabad, and Bengaluru.