Tubal Ligation Reversal Blog

Tubal Coagulation: Burned Tubes Can Be Repaired

Tubal coagulation is an extremely common method of tubal ligation.┬áThis method is also known as ‘tubal burning’.

Although having ‘tubal burning‘, ‘burnt tubes‘, or ‘burned and cut tubes‘ seems bad, our experience has demonstrated this method of tubal ligation is reversible and will provide our patients with a good chance at becoming pregnant after reversal.

Tubal coagulation procedures are often done using a small camera and instrument inserted through the belly button (laparoscopic surgery). There are two types of coagulation procedures: bipolar and monopolar. Bipolar is by far the most common type of tubal coagulation procedure performed in the United States.

Bipolar coagulation

Bipolar Coagulation

Bipolar tubal coagulation is the most popular method of laparoscopic tubal ligation in the United States. With this method of tubal ligation, the fallopian tube is grasped with a small instrument and electrical current is used to coagulate, or burn, the tube in a small area, but only in the area where the tube is being grasped.

During the coagulation procedure, the electric current passes between the two arms grasping instrument. The only part of the tube damaged is the small area between the of the grasping instrument. Often, two or three adjacent sites on the fallopian tube are coagulated to further guarantee the tube will heal closed.

Bipolar tubal coagulation can be reversed and pregnancy rates after reversal of bipolar tubal coagulation are approximately 66%.

Monopolar coagulation

Monopolar Coagulation

Monopolar coagulation of the fallopian tubes is less common than bipolar coagulation tubal ligation.

During monopolar coagulation a different type of grasping instrument is used and the electrical current spreads outward from the coagulating instrument. Monopolar coagulation can be more destructive to the fallopian tube than bipolar coagulation because of the spreading nature of the electrical current.

When a single site of the tube has been coagulated and divided, tubal reversal can be performed without difficulty.

Pregnancy rates after reversal of monopolar coagulation procedures are approximately 40-50%.

Reversing burned tubes

Often what is done to the tubes is not as important as how much of it was done to the fallopian tubes.

The amount of tubal coagulation is more dependent on the technique of the doctor than some other ligation methods (i.e. tubal clips and tubal rings) and each doctor may perform tubal coagulation differently. There is often considerable variation amongst doctors in their techniques of tubal coagulation but most doctors will use a 2 to 4 point burn applied to each tube and this can often be easily reversed.

Having burned tubes is not always as bad as it sounds and burned tubes can be reversed. In our experience most tubal coagulation procedures can be reversed and approximately 66% of our patients will report pregnancy after reversal of burned tubes.


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10 thoughts on “Tubal Coagulation: Burned Tubes Can Be Repaired

  1. Dr. Monteith Post author

    Age plays the most important factor. If you are having regular periods pregnancy is always possible; however, the chance of natural pregnancy after age 45 is less than 2%.

  2. lori

    I Have A Question, Does Age Play A Factor In This Procedure. I Am 46 and The tubiligation was done in 2004

  3. Niya

    I have been saving and planning to come to the center for a tubal reversal. I had my tubes cut and burned in 2005 or 2006. I have had an umbilical hernia repair and am really praying that I will be able to conceive again.

  4. Dr. Monteith Post author

    We can help you. You should give us a call and we can let you know how to get started. The surgery is very safe but the main risks are tubal pregnancy. This can be easily managed by following up with your doctor when you become pregnant.

  5. Erica

    I have had my tubes tied and burned almost 5 years ago now. I had a ‘mini’ tummy tuck almost 3 years ago. We have been talking about having a reversal, we’re just curious what the risks are if any, because I’ve always gained a significant amount of weight when pregnant, and I have an umbilical hernia that came with baby number one almost 13 years ago.

  6. Dr. Monteith Post author

    We would love to have you come to our center. We currently are filing up fast for December. January is moderate but soon we will have many patients who will start scheduling in February and beyond. In general we are scheduling 3 to 6 weeks out.

  7. Jessica Wilson

    I’m very interested in coming to NC from Colorado. So that I can begin to find a date that may work for my husband and I, can you please tell me approximately how far out you are scheduling? Thank you!

  8. Ericka

    Great article! Many women fear that tubal reversal is not possible when they learn that their tubes have been burned!

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