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Tubal Reversal Insurance
Screening Laparoscopy Is A Great Insurance Policy

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Healthy uterus without scar tissue

A screening laparoscopy provides a nice tubal reversal insurance policy if fallopian tubes cannot be repaired.

A Personal Choice is the only center offering this helpful procedure. You should consider a screening laparoscopy a tubal reversal insurance policy.

We can repair tubes in most of our patients, but for those patients who want more of a guarantee or who cannot obtain tubal ligation records, a screening laparoscopy procedure is a simple procedure to evaluate the health of the tubes.

If you have scar tissue then laparoscopy can increase the odds of successful surgery.

Screening Laparoscopy: Unique tubal reversal insurance policy

A screening laparoscopy is a unique tubal reversal insurance policy to consider. We use screening laparoscopy in two ways:

  • Determining if the remaining tubes are healthy enough for repair
  • Diagnosing uterine scar tissue from prior C-sections

If the tubes are healthy and there is no scar tissue then tubal reversal can safely proceed.

If the tubes are not healthy then the surgery can be stopped and a refund of the surgical fee can be provided.

If there is significant scar tissue then an incision can be made which avoids the scar tissue.

Screening laparoscopy: Detecting severe scar tissue

Screening laparoscopy is performed under general anesthesia. The laparoscopic camera is inserted through a small incision in the umbilicus (belly button).

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During screening laparoscopy the uterus was found to be densely adherent to abdominal wall.

This allows for close examination of the pelvis, the remaining tubal segments, and for C-section scar tissue.

This photo illustrates how the uterus can be attached to the abdominal wall from a prior C-section.

The fallopian tubes are not visible in this photo because the tubes are behind the uterus.

It is important to understand uterine scar tissue is difficult to detect before surgery and can only be diagnosed during surgery.

If there is significant scar tissue then a needle localization technique is used to determine the best place to make the tubal reversal incision.

Needle localization during screening laparoscopy

Needle localization helps determine the best place to make the abdominal incision. The best incision avoids significant scar tissue and increases the chance of successful tubal repair.

Under direct laparoscopic visualization a needle is inserted into the previous C-section incision to help determine if the densest scar tissue is in the path of the needle.

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Needle inserted into previous C-section incision

uterine-scarring

Needle is not seen because it is inside adhesion

The photo on the left demonstrates insertion of the needle into the previous C-section incision. At the same time the internal laparoscopic photo on the right demonstrates the needle is not visible.

The needle is not visible because the needle is inside the densest area of scar tissue. In this patient it would not be wise to use the same incision because it would place us in the thickest part of the uterine adhesion. This would increase the risk of the surgery and also decrease the chance of successfully repairing both fallopian tubes.

Needle localization: Finding the best place for tubal reversal incision

A screening laparoscopy allows for more precise incision placement. This can make the difference between a successful reversal or a failed procedure.

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Needle is inserted two inches above previous C-section incision.

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During laparoscopy needle is observed to be above the uterine adhesion. The is the better place to make a tubal reversal incision.

The photo on the left demonstrates the needle being inserted three inches above the previous C-section incision. The photo on the right demonstrates the needle exiting the abdominal wall well above the uterine adhesion. This is a better place to make an incision.

Making an incision in this area will allow for an easier tubal reversal surgery by avoiding uterine scar tissue and increasing the chance both tubes can be repaired.

Screening laparoscopy: Helpful tubal reversal insurance

We can repair the tubes in about 98% of patients. If the tubes cannot be repaired then screening laparoscopy allows patients to get a refund of their reversal surgery fee.  If severe scar tissue is present, screening laparoscopy allows needle localization of the best place for a tubal reversal incision and increases the chance both tubes can be repaired.

More information: Who should consider screening laparoscopy?

Women who are unable to obtain their records or have a history of prior C-section should consider laparoscopy as a helpful tubal reversal insurance policy.

20 thoughts on “Tubal Reversal Insurance: Laparoscopy A Great Insurance Policy”

  1. Anonymous says:

    I am a 39 yr old women that is thinking abt reverse tubal how longbdo it takes to heal after surgery.

    1. Dr. Monteith says:

      Healing is gradual.

      Patients can start trying to become pregnant as soon as they feel comfortable. They can return to a desk job in 7 to 10 days. If their job requires heavy lifting then they would need to wait 4 weeks until returning to work.

      We should be able to help you. We can reverse most tubal ligation procedures.

      You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

      Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  2. Vanecca says:

    I have my procedure medical record during my last a csection how can I know if I am a good candidate for reversal or not?

    1. Dr. Monteith says:

      You can send your records to us for a free review by following the information under Sending Records found on our Contact Us page. Use this link here: Contact Us and Sending Records

  3. Anonymous says:

    Gosh, what if I pay all this money, and it don’t work

    1. Dr. Monteith says:

      There are no guarantees with any infertility treatment…either tubal reversal or IVF. To answer your question, we can reverse most tubal ligations. In general about 2 out of every 3 patients will become pregnant. If we did a reversal and it did not work then you would have to consider IVF.

      IVF is about $14,000 and average success is 38%. Tubal reversal is $6,400 and average success is 60% to 70%.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  4. Jessica B. says:

    Are there any body weight limits to having a burnt, tied and cut tubal reversed? Also what is the cost of the laparoscopy?

    1. Dr. Monteith says:

      To have surgery at our center your BMI must be below 37. The optional screening laparoscopy costs $1,500.

      We perform surgery up to a maximal BMI of 37…BMI is calculated based on your height and weight. If your BMI is over 37 then we cannot accept you as a candidate for tubal reversal surgery.

      You can calculate your BMI here: BMI Calculator

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Insurance will not pay for tubal reversal surgery. You should send us your tubal ligation records for a free review.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food. Patients stay in Raleigh a total of 2 nights and 3 days. The consultation is the first day, surgery the second day, and postoperative visit is the third day.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about reversal surgery at our center.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

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