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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.


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

  1. Baby boomer says:

    I had my tubes tied immediately after delivery, is this reversable? I only had one fallopian tube.

    1. Dr. Monteith says:

      We can certainly reverse your tubal ligation and many of our patients will become pregnant after reversal of only one tube. Please give us a call at (919)968-4656 if you want to talk more about tubal reversal.

      You will find that the link below to our Frequently Asked Questions will answer most of your questions about surgery at our center. You are welcome to send your reports to our office for a free evaluation.

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

  2. Sara telesca says:

    i think i have my tube burning

    1. Dr. Monteith says:

      We can reverse tubal burning.

      Our Frequently Asked Questions page will answer many of your questions about tubal reversal.

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

      We are offering a hotel special for January surgeries: January 2016 Hotel Special

  3. Draya says:

    Finding this website has me in a burst of many emotions and hope. I’m excited yet skeptical. I’m 40y/o (13 pregnancies and had tubaligation in 2010 because I was super fertile and in an abusive relationship. Oh how I regret it now that I am out of that situation and with someone who truly cares for my wellbeing. This person has no children (but we both have an urging desire to have a baby). My issue is, I can remember my dr telling me that her procedure was not reversible. In my heart I really felt that I would be stuck with this individual forever and and would continue to have babies by him. So a simple polyp removal procedure allowed me to sneak and get this done without his knowledge. How can I find out if you can work a miracle. Do i have to travel there or is there a physician closer in Georgia that you work with that I can see before I get my hopes up too high

    1. Dr. Monteith says:

      After the age of 40 it is harder to become pregnant naturally but it is not impossible if you are having regular periods. The chance of pregnancy after age 40 is around 35% and your best chances will be the next two years.

      We will email you more information. All of our patients talk with nurses over the phone, schedule, and then travel here for surgery. They spend 2 nights in a hotel and have surgery and all their visits in our center. We are offering to pay for the hotel for patients who schedule in January.

      Give us a call at (919)968-4656 if you have any questions about tubal reversal at our center.

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

      We are offering a hotel special for January surgeries: January 2016 Hotel Special

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