Untying Tied Tubes: Falope Ring Sterilization
Posted On: Wednesday, May 14th, 2008
Falope Ring Sterilization
The Yoon Falope rings were developed in the 1960′s as a safer alternative to laparoscopic monopolar cautery tubal sterilization. This procedure is performed by inserting a laparoscope just under the belly button. The fallopian tube is then identified and a device holds the tube while the silastic ring is slid over a 2-3 cm ’knuckle’ of tube that is kinked off by the ring. This is done once for each side.
The common misperception is that the Falope ring is what prevents pregnancy and that reversal of the procedure simply requires removal of the ring. The Falope ring causes the squeezed ’knuckle’ of tube to undergo avascular necrosis (to die and become absorbed by the body). After this happens the ends of the tubal segments outside the ring close up, thereby preventing sperm from reaching the egg.
Falope Ring Sterilization Reversal
Reversing Falope ring sterilization is not as easy as just removing the ring. The closed ends of the tubes must be opened and the tubal segments must be rejoined.
Falope rings cause destruction of a minimal length of fallopian tube and reversal of this type of tubal ligation gives excellent results. Approximately 75% of patients at Chapel Hill Tubal Reversal Center become pregnant after a reversal of a Falope ring sterilization procedure.
Many people believe tubal sterilization is permanent and irreversible. Although tubal sterilization with Falope rings is intended to be permanent, this procedure can be reversed. Chapel Hill Tubal Reversal Center is the only medical facility that specializes exclusively in reversal of tubal ligation.
May 14th, 2008 at 7:36 pm
Tubal rings and tubal clips are occlusive methods of tubal sterilization. The clips (Hulka clips and Filshie clips) are the very best method of tubal ligation in terms of reversal success. I have noticed over the years that fibrosis of the segment of fallopian tube attached to the uterus is more common with Falope rings. Given the choice between rings and clips, patients should request tubal sterilization with clips.
May 14th, 2008 at 7:45 pm
Thanks for the information. I know that this will help women understand what happens when they are told that they have “rings” placed on their tubes. It is always a benefit to have information out there that can help women make the best decision that they can for themselves.
May 14th, 2008 at 9:33 pm
We also seem to hear complaints about leg pain or cramping from women have had one of the occlusion techniques like clips or rings. But fortunately, the results after the reversal can be excellent!
May 15th, 2008 at 6:28 am
This information is very helpful. A lot of women are under the impression that they can conceive after five years (without having the tubal reversal)- because the rings will “slide off”. The common misconception described above should clarify this.
May 15th, 2008 at 6:49 am
Information for women considering sterilization is helpful if there is the likelihood for tubal ligation reversal in the future,especially knowing there are several tubal ligation procedures performed. It’s nice to know there are choices for sterilization consideration and that tubal reversal surgery is available.
May 15th, 2008 at 7:46 am
I am always very happy to see that a doctor chose to use Falope rings (or clips) on a patient. Especially when the patient has the ligation at a very young age. A women age 18 to 21 has little idea what lies ahead in their life and it’s very prudent of the ligation doctor to choose a more easily reversed ligation method.
May 15th, 2008 at 10:04 am
Thank you for the detailed information about Falope rings, Dr. Monteith. I wish more physicians would choose this method of sterilization because you never know what the future will bring and Falope rings are more easily reversed than other methods of tubal ligation.
May 15th, 2008 at 10:05 am
Dr. Berger’s website provides valuable information to women searching for answers regarding tubal reversal. There are very few practioners who care enough to go to the extent Dr. Berger does for patient education. Thank you, Dr. Berger.
May 15th, 2008 at 10:49 am
We do have many ladies come to us for tubal reversal who have had falope ring sterilization. In addition to the fibrosis that Dr Berger mentioned, I have seen many variations on the amount of tube that is pulled through the ring. This is important to note, as the length of the tube that is pulled through the ring dies and therefore determines the length of healthy tube left for tubal repair.
May 19th, 2008 at 11:41 am
It is good to know that while Falope Rings offer a safe alternative for tying the tubes, women also get good results when they desire to have their tubes untied by tubal reversal surgery. Both Dr.Berger and Dr.Monteith are experts in this specialized field of surgery.
May 28th, 2008 at 2:15 pm
Many women ask why the rings can’t just be popped off and the tubes be able to work. We wish it were that simple. When the Falope rings are applied they cut off the circulation to the tube and cause the tissue under and just adjacent to it to die. Dr. Berger and Dr. Monteith removed the ring and the dead tissue and connect the healthy parts of the fallopian tube back together. It is a neat procedure to watch!
July 17th, 2008 at 11:59 pm
I’m grateful that the doctor that performed my ligation used Hulka clips. When I requested my OR records, and saw Hulka clips I was elated. I had already read that they had a much better chance of reversal.
After my surgury on Sept 7th, 2006 Dr.Berger came to see me briefly in the OR and told me that it looked great and my chances were excellent. I could tell just by his tone and mannerisms that it was going to happen. He just seemed so pleased with the results and the lengths on both sides.
I’m one of the 75% that got pg after TR. We conceived three times in a year – lost two pregnancies to miscarriage – but finally received our TR blessing born May 13th.
I wish that all TR’s were performed with clips or rings. It just makes it much easier to reverse if or when the need or desire arises.
October 8th, 2008 at 1:36 am
How many clips can you have on a tube?
October 8th, 2008 at 4:34 am
Hulka and Filshie clips were designed so that one clip would be placed across each tube . We have seen a number of patients with 2 clips on a tube, and one patient with 3 clips.
October 10th, 2008 at 5:27 pm
I got my report of my operation, and it said there was a 1 in 200 failure rate, and if so what happens to make it fail? I had the Falope ring application done.
October 10th, 2008 at 6:47 pm
Most failures of the ring procedure result from failure of the ring to be applied completely around the tube.
January 22nd, 2009 at 8:16 pm
I was 18 yr when I got the ring procedure my doctor said I’m going to make sure you don’t have any more babies now I’m 38 all my 3 kids are big now the baby is 18 yrs now I wish I can have another 1 I don’t know if they can be reverse since it been so long.
January 22nd, 2009 at 8:31 pm
LISA – The ring procedure is one of the best for reversing. The length of time since the rings were put on the tubes is not important. Scroll up to the top of the page and you can see links that show tubal rings Illustrations and Pregnancy Statistics.
March 16th, 2009 at 9:40 pm
MY HUSBAND AND I REALLY WANT ANOTHER CHILD I HAD MY TUBES TIED SEVEN YEARS AGO ,WE THOUGHT ABOUT GETTING MY TUBES REVERSE BUT IT IS SO COSTLY IS THERE ANYTHING ELSE THAT COULD BE DONE NOT SO EXPENSIVE
March 17th, 2009 at 8:09 am
Unfortunately the only other option is IVF. The average cost of IVF is $9-12,000 per try and the average chance of success for each try is 35%. Tubal ligation reversal costs significantly less out our center, average success rate is 70%, and, if successful, you can have more than one child at no additional costs (as compared with IVF where you will have to pay for each attempt).
April 8th, 2010 at 9:53 am
I want another baby but I have the fallopian tubal ring, so I need the tubal reversal to have another baby? I don have insurance for a tubal reversal.
April 8th, 2010 at 11:30 am
rubienith miranda
Insurance does not pay for tubal reversal and the tubal rings would have to be removed and the tubes rejoined if you would like to have another baby.
January 15th, 2011 at 8:05 pm
i have the falope ring done in 2006. i want another baby as well but dont have the money.. is there any other option that can take place. it was no cost out my pocket to get them tide, but costly now to get them reversed…. how much is it really?
January 15th, 2011 at 8:14 pm
Tasha – Unlike tubal ligation, there is no public program that pays for tubal ligation reversal. In fact, most insurance companies do not pay for it. The lowest cost for tubal reversal is $5400 at Chapel Hill Tubal Reversal Center, the best tubal reversal clinic, located in Chapel Hill, North Carolina.
January 15th, 2011 at 8:28 pm
thanks for your reply, but can you get pregnant with the falope ring being that it has been over 4years.
January 15th, 2011 at 9:06 pm
Tasha – You will not get pregnant with the Falope rings in place after 4 years unless you have them surgically removed and your tubes put back together (tubal anastomosis) or undergo treatment by IVF.
April 27th, 2011 at 12:07 pm
I am 34yrs old. I had the fallopian rings done when I was 20 yrs old. My son is 14 yrs old. I want to have another baby would this be possible?
April 27th, 2011 at 12:16 pm
Yes. Fallopian rings are good for reversing and provide a high pregnancy success rate.
June 17th, 2011 at 6:26 pm
[...] Due Date: 02/05/2012 Number of pregnancies since TR: 1st Tubal ligation method: Falope rings More Information on Falope ring This entry was posted on Friday, June 17th, 2011 and is filed under [...]
July 11th, 2011 at 11:34 am
I had my Tubes Tied in 2003 with a Ring . I was wondering what are the chances of getting Pregnant ? Still ? 8 years later ?
July 11th, 2011 at 3:53 pm
Heather – You can see the chances of getting pregnant after reversal of tubal rings based on women in your age group on our Tubal Reversal Pregnancy Statistics page: http://press.tubal-reversal.net/2009/pregnancy-rates-by-age-and-tubal-ligation-method.html. This applies only to women who have their tubal ligation reversal at Chapel Hill Tubal Reversal Center.
September 22nd, 2011 at 1:56 am
I got Falope Rings back in 2003 because of domestic violence with my husband and did not want to get pregnant again. I got a divorce in 04 and i had to have an oblation done because of cycle. Now 6 years later i still have a cycle and with a new man & want to have another baby now. Is it possible for me to get pregnant again if i have the rings removed?
September 22nd, 2011 at 4:30 am
Cam – Falope ring reversal is very successful at Chapel Hill Tubal Reversal Center. If you have any questions, call (919) 968-4656.
October 3rd, 2011 at 2:53 am
I got sterilized aged 26 after having a c-section 19 months ago, I think i had tubal clips cause i remember the surgeon saying when he was doing it that one popped off and he had to put it back on. Am i at a high of getting pregnant as this happened in surgery?
October 3rd, 2011 at 10:57 am
Probably not…the doctor would have made sure the tube was closed after the tubal clip popped off. The doctor probably put another clip on. The clips cause the tubes to close permanently and even if one falls off the tube will be closed permanently.
October 4th, 2011 at 12:22 pm
Hi im very confussed. I got my medical records. It says tube ligation with falope ring what that means ? can i have more baby????
October 4th, 2011 at 2:52 pm
ok, well after having been sterilized im thinking of getting a reversal as all I get is alot of pain in my tubes,can a doctor get me a referral so I dont have to pay? as its messing my life up.
October 4th, 2011 at 4:30 pm
Olga – Check the link in your comment to see what the Falope ring is. You can have another baby if you have the tubal ligation reversed.
October 4th, 2011 at 4:37 pm
Lucy – Even if your doctor gives you a referral for tubal ligation reversal, it is an elective operation that you would have to pay for.
October 4th, 2011 at 6:25 pm
thanks Doctor my form also says this : The falope ring applicator was then advanced throught the second trocar sleeve and the patient’s left fallopian tube was identified and followed out to the fimbriated end. The ring was applied in the mid isthmic area wih a good knuckle of tube noted and good blanching at the site of application. A photograph was taken at this point. There was no bleeding at the mesosalpinx. The falope ring applicator was reloaded and the patient’s right tuba was manipulated in a similar fashion with easy application of falope ring and no bleeding ath the mesosalpinx. The ring applicator was removed from patient’s abdomen and the second trocar was removed were removed withouth difficulty or bleeding. Both incisions were repaired using 4-0 vicryl. The uterine manipulator and tenaculum anterior lip of the cervix. The patient tolerated this procedure well. Sponge, lap, and needle were correct times two and the patient was taken to the recovery room extubated in stable condition. Can you explain me that?
October 4th, 2011 at 7:16 pm
Olga – This is a standard Falope ring procedure. It is similar to the Pomeroy tubal ligation procedure except that the tubes have been blocked by the rings rather than tied as in the Pomeroy method. It can be easily reversed.
October 5th, 2011 at 1:18 pm
thank you doctor so it means that its not cut or burn? whats the difference between standard falope ring and blocked? Thank you docotor for all your help I appreciate it
October 5th, 2011 at 1:31 pm
HI doctor , sorry my english is not that good. Can you send me link with a pic so i can have an idea of what it looks blocked by the ring, . Im trying to find a pic but it shows many ways. Also does that means its cut or burn? thanks
October 5th, 2011 at 3:23 pm
Olga – The Falope ring blocks the tubes. Your tubes have not been cut or burned.
October 5th, 2011 at 3:25 pm
Olga – Here is an illustration showing tubal ligation with the Falope ring.
October 5th, 2011 at 8:12 pm
Thank you doctor for all your information, I apreciate it, you are the besttttttt!!!!!! =)
October 5th, 2011 at 8:15 pm
like how much it would cost to get it reversed?
October 5th, 2011 at 8:19 pm
Please click on the “Cost” link on the left hand navigation menu – http://www.tubal-reversal.net/tubal_reversal_fee_financing.htm