Question

Tubal Reanastomosis (Tubal Reversal)

Women Who Have Had Previous Surgical Procedures To Ligate The Fallopian Tubes May Be Candidates For Surgical Correction To Achieve Pregnancy



Initial lab tests and a review of medical records will need to be completed in order to ensure that tubal repair is possible and to achieve the best results from the procedure. This may include, but is not limited to, the following:

  • Obtaining tubal ligation/sterilization operative report and pathology report from the hospital where the surgery was performed prior to scheduling an appointment
  • Semen analysis on spouse within the last twelve (12) months
  • Baseline FSH and Estradiol on day 1, 2, or 3 of next period
  • Blood test to determine if patient has had, or currently has, a Chlamydial tubal infection
  • Diagnostic ultrasound

These tests are performed to ensure that patients have a very good chance of becoming pregnant after this procedure, BEFORE undergoing the surgery.


TUBAL REVERSAL OVERVIEW

Tubal reanastomosis is performed through a three-inch incision within standard bikini lines. Pubic hair is shaved and an incision is made in the area over the bladder. Later, pubic hair will grow back and hide the incision. This surgery requires the use of an operating microscope and sutures about the size of human hair to reconstruct the fallopian tubes. The surgery takes approximately 2 to 3 hours and is performed at a local area hospital; Clear Lake Regional Hospital, Memorial Hermann Southeast, or the Woman’s Hospital of Texas. General anesthesia with intubation versus spinal anesthesia is required. Normally patients will be discharged home on the same day as the surgery unless they live more than 20 miles away, in which case we will assist patients in finding local overnight accomodations, and they can return home the next morning. Patients will need to stay at home for at least one (1) week and up to three (3) weeks.

Risks of Tubal Reversal surgery include:

  • Postoperative pain
  • 10% risk of ectopic pregnancy
  • Possible infection
  • Failure to become pregnant

Success often depends upon the previous tubal ligation procedure performed:

  • Hulka Clips (single application) provide the best chance (70-80%) of becoming pregnant following tubal reversal surgery
  • Tubal ligation using suture, Pomeroy, and cautery all have an equivalent 50-70% pregnancy rate following tubal reversal surgery

If the end of the tube was removed or the tube was ligated at more than one site, pregnancy rates are greatly decreased with tubal reanastomosis. In these cases, in-vitro fertilization (IVF) offers the best chance of pregnancy for women who have had this type of tubal ligation performed.

Other factors affect the chances of becoming pregnant with tubal reanastomosis. Examples include age, history of Chlamydia, salpingitis, or spouse with low semen analysis.


CORM OFFERS THE LATEST IN TUBAL REVERSAL SURGERY

MINIMALLY INVASIVE

Thanks to a breakthrough in surgical technology, there is a new category of minimally invasive surgery for Tubal Reversal candidates. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci® Surgical System, CORM is now able to offer a minimally invasive option for complex surgical procedures, such as Tubal Reanastomosis.

HIGH-TECH

The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables surgeons to operate with enhanced vision, precision, dexterity, and control.

QUICK RECOVERY

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.


CORM IS THE ONLY CLINIC
IN THE CLEAR LAKE AREA
PERFORMING TUBAL REVERSALS
WITH THE DA VINCI ROBOT


With the da Vinci Surgical System, CORM is re-writing accepted standards for surgical care in the treatment of infertility. Contact us today to learn how da Vinci is changing the experience of surgery in Southeast Texas.


FINANCING AVAILABLE

CORM has negotiated with local hospitals to lower their facility fee in order to better serve our patients. Our office will send a pre-determination letter to your insurance company to verify whether or not tubal reanastomosis is a covered expense. Surgery will not be scheduled until we receive a written response from your insurance company. For patients who do not have insurance coverage, or do not desire to pursue insurance coverage, an affordable pre-paid contract is available.

Financing is available through the following providers (click images to learn more):

Medical Financing Medical Financing Medical Financing

CONTACT CENTER OF REPRODUCTIVE MEDICINE TODAY

To Learn Whether You Are A Candidate For Tubal Reversal

Our Knowledgeable Staff Is Happy To Answer Any Questions You Have


CLEAR LAKE
(281) 332-0073
HOUSTON BEAUMONT
(713) 790-9900 (409) 898-1603

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