Tubal Ligation Reversal Blog

Untying Tied Tubes: Bipolar Electrocoagulation

History of Tubal Sterilization

The first tubal sterilization procedure, reported in 1881, was tubal ligation and resection. Ligation and resection – or ‘tying tubes’ was the most common surgery for sterilization until the advent of laparoscopic surgery in the mid 1900′s. As laparoscopic surgery became more popular, electrocoagulation (electrical burning) of the fallopian tubes became an additional method of surgical sterilization. Tubal sterilization by electrocoagulation uses electric current to cut and destroy the portion of the tube that is exposed to the electric current. These portions of the tube eventually heal and close.

Monopolar Tubal Coagulation

Tubal sterilization with monopolar coagulation forceps.The initial method of laparoscopic tubal coagulation, in 1962, used a type of electrical current termed monopolar current. Monopolar tubal electrocoagulation was a popular type of laparoscopic sterilization through the 1970′s and 1980′s. The medical community began to realize that the complication rate from this form of electric surgery was higher than for other electric surgical methods of tubal sterilization. Sterilization procedures done by monopolar current have gradually been replaced with bipolar current.

Bipolar Electrocoagulation of the Fallopian Tubes

Tubal sterilization with bipolar coagulation forceps.The first reported sterilization using bipolar electrocoagulation was in 1972. This was done via a laparoscope inserted just under the belly button. During bipolar coagulation, the electrical current can be more precisely controlled, resulting in less tubal damage than monopolar coagulation. This sterilization procedure results in higher reversal success rates than monopolar electrocoagulation.

Reversing Tubal Sterilization

Many people, including doctors, mistakenly believe that tubal sterilization is permanent and irreversible. Although bipolar coagulation sterilization is intended to be permanent, this procedure can be reversed successfully in almost all cases. The success rates depend on how many different areas of the tube were damaged with electrocautery. Approximately 60- 70%¬†of patients at Chapel Hill Tubal Reversal Center become pregnant after a reversal of a bipolar coagulation sterilization procedure. Chapel Hill Tubal Reversal Center is the only medical facility that specializes exclusively in reversal of tubal ligation. We perform tubal ligation reversals every day, and our tubal reversal doctors are experts in reversing all types of tubal ligations- or ‘untying’ tubes that have been ‘tied’!

Submitted by Dr. Charles Monteith

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18 thoughts on “Untying Tied Tubes: Bipolar Electrocoagulation

  1. Dr. Berger

    Anonymous – You can have your tubes reversed at Chapel Hill Tubal Reversal Center even after they have been burned and tied. Call (919) 968-4656 for assistance.

  2. Anonymous

    I remarried and I have 4 children in my previous relationship. I would love to give my husband an lil girl but my tubes have been burnt and tied. what can I do to get this reversed

  3. Pingback: Can I Get Pregnant With My Tubes Tied?

  4. Courtney

    4 sections of my tube on each side were cauterized. Could it still be possible to reverse this? The operative notes state that 1/3 of the end attached to the uterus was left intact and that the cautery did not destroy the fimbria?

  5. Webmaster

    Hello Crystal,

    The total fee (as of September 2008) for tubal ligation reversal surgery by Dr. Berger is $5900 when payment is made in full within 24 hours after scheduling your surgery.

    Chapel Hill Tubal Reversal Center offers two fee options:

    1) The standard tubal reversal fee is $6,900. With the standard fee, you can schedule your appointment and hold a date with a $250 down payment.

    2) The reduced tubal reversal cost is $5,900 ($1,000 discount) and is due in full at the time of scheduling your surgery.

    In other words, if you called today to schedule a surgery 2 months from now, to obtain the reduced fee a payment of $5,900 will be required by tomorrow, if scheduling the standard fee ($6,900) payment will be due in five weeks, or three weeks before your TR.

    The fees for tubal reversal procedures are all-inclusive and cover:

    * Preoperative record review and consultation
    * Surgeon’s fee
    * Anesthesia fees
    * Surgical supplies
    * Operating facility fees
    * Postoperative pain medication
    * Follow-up care.

    Some insurance companies may cover part of the cost of tubal ligation reversal. We are a fee for service practice and do not accept payments from insurance carriers. The insurance code (ICD-9) for bilateral tubal occlusion is 628.2. The procedure code (CPT) for tubotubal anastomosis is 58750.

    Chapel Hill Tubal Reversal Center offers the option of a screening diagnostic laparoscopy prior to tubal reversal surgery. There is an additional charge of $1000 to add the screening laparoscopy, but with this option close to 50% of the total fee is refunded should tubal repair not be possible.

    Crystal if you have questions regarding costs or payment options, please contact us (919) 968-4656.

    More information on the cost of reversing tied tubes

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