Washington Center for Reproductive Medicine

Tubal Reversal Surgery

Tubal reversal surgery can be a successful treatment for some couples. The success of the operation depends upon several factors including:

  • The females age
  • The amount of fallopian tube that was damaged at the time of sterilization
  • Whether electrocautery was used as the electrical burn often spreads to, and damages, adjacent tissues.
  • The length and health of the remaining fallopian tube

Tubal reversal surgery is a straightforward surgical procedure where the segment of the damaged fallopian tube is removed and healthy tissue is rejoined to produce a functional fallopian tube. 

Prior to surgery, it is important to ascertain the patient’s candidacy for the procedure.  It is also necessary to determine if there is a good chance that tubal reversal surgery will result in a pregnancy by ruling out other potential causes of infertility. The following tests should be performed prior to considering tubal reversal surgery:

  • Semen analysis to insure that the male partner is fertile
  • A thorough evaluation of the previous operative report detailing the sterilization procedure and the amount of damage to the tubes. Review of pathology reports is also helpful
  • In patients over 35 seeking tubal reversal surgery, a day 3 FSH and estradiol blood test should be performed to exclude premature menopause and decreased fertility
  • Documentation of ovulation by day 21 Progesterone blood tests
  • hysterosalpingogram (HSG) is helpful in documenting how much tube is still attached to the uterus. This is important as anastomosis made “tube-to-tube” has a significantly higher success rate than when the tube is connected to the uterus.

Once a patient is deemed suitable for tubal reversal surgery, the procedure is performed using the latest microsurgical techniques.  The hospital stay and time off work are minimal.  Our success rates with tubal reversal surgery are excellent. 

Many couples, as well as those who have experienced failed tubular reversal surgery, may opt for in vitro fertilization. In general, the per cycle success rates with IVF exceed those of tubal reanastamosis. The advantage to tubal reversal, especially in younger women, is that there is no limit (other than age or other conditions causing infertility) to the number of times conception can be attempted in a natural cycle. The number of IVF attempts may be limited by cost.

 

 

 

 


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