Comments on: Untying Tied Tubes: Bipolar Electrocoagulation

By: Dr. Berger

Dr. Berger — Mon, 14 Sep 2009 08:45:41 +0000

KIM - In most cases even with multiple procedures reversal is possible. Sending us a copy of your operative report will be helpful to review. Sometimes screening laparoscopy is useful if there is any doubt about whether reversing tubal sterilization can be performed.

By: Kim

Kim — Mon, 14 Sep 2009 02:11:19 +0000

My tubes were tied, clipped and burned in 2003. Is there a chance for me to have a procedure done to reverse this?

By: Dr. Berger

Dr. Berger — Sat, 13 Dec 2008 20:36:00 +0000

It is likely that this can be reversed if the tubes were cauterized with a bipolar coagulator. When more that 3 sites have been burned, I recommend starting with a diagnostic or screening laparoscopy.

By: Courtney

Courtney — Sat, 13 Dec 2008 20:24:42 +0000

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?

By: Webmaster

Webmaster — Mon, 15 Sep 2008 10:46:10 +0000

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

By: Dr. Berger

Dr. Berger — Mon, 15 Sep 2008 08:03:53 +0000

Crystal – Click on the “Cost” navigation bar at the top left of the page.

By: crystal

crystal — Mon, 15 Sep 2008 03:49:57 +0000

How much does it cost to have your tubes untied?

By: Matt Murphy ST

Matt Murphy ST — Mon, 19 May 2008 11:48:42 +0000

Thanks Dr. Montieth this is great information for people to know. Tubes are sometimes burned but we can still repair them and most still become pregnant.

By: Jan Hoyle RN

Jan Hoyle RN — Sun, 18 May 2008 23:35:56 +0000

Thanks to Dr. Monteith for this helpful information regarding tubal ligation. Many women are searching to understand their ligation and to find data regarding tubal reversal. This is a great service for educating women whose tubes have been burned about the possibilities of being able to become pregnant again.

By: Stephanie Duncan RN

Stephanie Duncan RN — Fri, 16 May 2008 19:20:43 +0000

When a tube has been coagulated or burned it can still be reversed so that women can have more children. We reverse this type of tubal ligation almost every day!

By: Kathy Scrone ST

Kathy Scrone ST — Fri, 16 May 2008 18:59:38 +0000

It’s so helpful for Dr. Berger and Dr. Monteith to provide such good information on the sterilization procedures available to help women understand the tubal reversal surgery of “untying tied tubes”. For those women desiring to have their “tubes tied”, it certainly gives women the opportunity to talk to their doctor about the type of sterilization procedure they can choose as certain ligation procedures have a higher tubal reversal pregnancy rate.

By: Pamela Mills CRNA

Pamela Mills CRNA — Fri, 16 May 2008 15:55:34 +0000

This is an excellent decription of exactly what we see in the operating room during tubal reversal or untying. Just one more reason that the Chapel Hill Tubal Reversal Center is the premier place to come for this type of surgery. Despite many different methods of tying the tubes, we are able to repair them in almost every case thanks to the experience and expertise of our surgeons.

By: jgokun

jgokun — Fri, 16 May 2008 15:53:32 +0000

Thanks for the informative blog post! I have a lot of potential patients call and ask: “If my tubes have been burned can it still be reversed?” I explain to them that this is one of the more common types and is normally always reversible.

By: Sarah Meachem RN

Sarah Meachem RN — Fri, 16 May 2008 15:29:39 +0000

Thank you for sharing the history of tubal ligation by cautery – it was interesting to learn how physicians gradually switched from monopolar to bipolar cautery, and the diagrams are helpful, as well. It is reassuring to know that Dr. Berger is able to reverse tubal ligations that have been done by all of the various methods.

By: Rhonda Brown RN

Rhonda Brown RN — Fri, 16 May 2008 01:10:58 +0000

I think that this information will give many women out there who feel that since their tubes were burned that there is no chance for reversal. The good news is that Dr. Berger is able to repair the tubes in 98% of the cases. This is great news for many women.