Tubal reanastomosis is a procedure done to reverse previous fallopian tube ligation. It is used to restore fertility in women when clips, rings, sutures and cautery have been performed to achieve sterilization.
To determine whether or not you are a candidate for tubal reversal, blood tests and imaging tests will be scheduled to evaluate the condition of your ovaries and tubes. A recent sperm count and semen analysis is also needed from the male partner to rule out any underlying fertility issues.
During tubal reanastomosis, your fertility specialist will reconnect your fallopian tubesthrough a procedure known as a minilaparotomy. Working through a small incision in the pubic region, obstructed areas of the tubes are removed and one or both of the fallopian tubes are rejoined using absorbable sutures.
Following the tubal reversal procedure, patients are often able to return home the same day.
It is important to allow a week to 10 days for the incision to heal. After this time, most patients are able to return to work and comfortably resume sexual activity.
Pregnancy success rates are often relatively high following tubal reanastomosis, since the patient likely has no other fertility issues. However, rates may be lower in cases where large sections of the tube have been removed or when significant adhesions or endometriosis are present. Maternal age is also a factor.
When tubal reanastomsis is unsuccessful or unadvised, IVF is often a viable option.
