A Personal Choice A Personal Choice BBB

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
Burned-tubes-can-be-reversed

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-can-also-be-reversed

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.

 

84 thoughts on “Tubal Coagulation: Burned Tubes Can Be Repaired”

  1. Tia says:

    I’m looking into geytin g a reversal through your facility. My operative report states that cauterize the fallopian tubes from ampullary region to the fimbriated ends and that thorough blanching of the tubes was noted.Is there a good chance for a reversal?

    1. Dr. Monteith says:

      Tia
      It would be best if you send us your records for a free review and we can let you know if you are a good candidate for tubal reversal.

      We charge $6400 total plus $125 to schedule. It covers everything except the cost of travel, hotel, and food. Call us at (919)968-4656 if you want to talk more about tubal reversal surgery.

      The following link will answer most of your questions (including payment plan questions): Frequently asked questions about tubal reversal

      To see why patients travel to see us read this impressive article on our March babies: March 2016 Tubal Reversal Baby Shower

  2. Melynda says:

    Ask Dr monteith i was in a bad marriage and had my tubes tied and cut but meeting the love of my life we decided to have a couple more before I reach 40 which I am rite at 40 door can you help me

    1. Dr. Monteith says:

      We can help you. Call us at (919)968-4656 if you want to talk more about tubal reversal surgery.

      The following link will answer most of your questions: Frequently asked questions about tubal reversal

      Please join our celebration of tubal reversal babies: March 2016 Tubal Reversal Baby Shower

Leave a Reply

Leave the name blank if you wish to remain anonymous. Your email address will not be published.

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>