Tubal Surgery

Surgery For Blocked Fallopian Tubes

What is tubal surgery?

Tubal surgery preserves and restores fallopian tube anatomy and function.  Tubal surgery is different from other gynecologic operations that remove female reproductive organs or function.  For example, the two most common gynecologic operations in the US are tubal ligation (approximately 700,000 each year) and hysterectomy (approximately 600,000 each year).

Tubal surgery or IVF?

Tubal surgery has declined in recent years as the training of infertility specialists has focused on in vitro fertilization (IVF).  Reproductive endocrinologists often perform hundreds of IVF treatment cycles but few if any, tubal reparative operations per year.  Compared with IVF, tubal surgery performed by Dr. Berger is less expensive and gives couples a chance to conceive naturally month after month.  Tubal surgery, however, does carry a higher risk of ectopic pregnancy, particularly in the case of inherent tubal disease.

Who performs tubal surgery?

Doctors with the most experience in performing tubal surgery are usually members of the Society of Reproductive Surgeons, a special interest group that was founded in 1984 by the American Society for Reproductive Medicine for doctors with special competency in reproductive operations.  Dr. Berger is a Charter Member of this society and is unique in being exclusively a tubal surgeon. Dr. Berger is likely to be the only reproductive surgeon in the world who limits his practice only to tubal surgery.  Because of his specialization and experience, patients come to Dr. Berger from across the United States and abroad to get the best possible treatment and outcomes. Dr. Berger is considered by many to be the best tubal surgeon.

What conditions are treatable by tubal surgery?

Most of the women who come to Chapel Hill to have tubal surgery performed by Dr. Berger are for reversing a tubal ligation, but others come for repair of their fallopian tubes that are blocked due to tubal infection (pelvic inflammatory disease or PID), endometriosis, and other conditions causing tubal blockage.

Types of tubal surgery

The most frequent operation that Dr. Berger performs is tubotubal anastomosis.  Other operations include salpingostomy and tubouterine implantation.  More in-depth descriptions of tubal surgery techniques are available in books that Dr. Berger has written or edited, including The Couple’s Guide to Fertility, Pelvic Inflammatory Disease, and Endometriosis: Advanced Management and Surgical Techniques.

Is tubal surgery right for you?

If you are unable to become pregnant because of tubal blockage and would like Dr. Berger to determine if tubal surgery may help you, send a copy of your pertinent medical records (such as operative reports or HSG x-rays) with a cover letter that includes your email address and telephone number to Dr. Berger.

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