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Tubal Reversal Insurance: Laparoscopy A Great Insurance Policy

Tubal Reversal Insurance
Screening Laparoscopy Is A Great Insurance Policy

tubal-reversal-insurance-by-using-screening-laparoscopy

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).

uterine-scar-tissue-diagnosed-during-tubal-reversal-surgery

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.

laparoscopy-a-great-tubal-reversal-insurance-policy

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.

screening-laparoscopy-offers-tubal-reversal-insurance-policy

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

best-place-for-tubal-reversal-incision

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.


Have Questions? Leave a comment here or visit our contact page.

8 Comments

Tameka Settle Reply

I have had 4 c section and I have been cut down twice and across twice and me and my husband has no kids and are ready to have a baby I want to no since I been cut down and across will that affect me from having a tubal reversal


    Dr. Monteith Reply

    We should be able to help you. You should consider our screening laparoscopy option. Please call us at (919) 977-5050 if you have any additional questions about tubal reversal.


Angela Benitez Reply

I had my tubes burned do u think I I could get a reversal done I live in Wisconsin


    Dr. Monteith Reply

    Angela

    We can help you.

    Reversing burned tubes (also called tubal cauterization or tubal coagulation) can provide a good chance of success. The chance of pregnancy after reversal of burned tubes can be as high as 60% to 80%.

    You can see our burned tube reversal testimonials here: Testimonials of Successful Reversal of Burned Tubes

    If you would like to get started then the best first step is to send us your tubal ligation records for a free review.

    Your tubal ligation records can be obtained from the Medical Records Department in the hospital where your tubal ligation was performed. Occasionally your doctors office may have the records. Sometimes patients may not be able to obtain their tubal ligation records. We can proceed with surgery without records because we can reverse most tubal ligation procedures.

    We charge $6900 total plus $150 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.

    We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period. You can find out more information about our prepayment plan…and answers to many other questions by following the link below to our Frequently Asked Questions page.

    Although $6,900 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.


Laura Reply

I live in Sydney Australia but your reputation here is second to none.
Can you recommend a clinic here in Sydney that uses your techniques?


anonymous Reply

I’ve had 5 c-sections, ids it possible for me to have reversal?


    Dr. Monteith Reply

    You should send us your records and we can let you know if you are a candidate for tubal reversal. In general tubal reversal provides you more chances over time than IVF (if you are a good candidate based on your tubal ligation records).

    We should be able to reverse your tubes. You should consider our screening laparoscopy because of your history of c-sections and the possibility of scar tissue.

    We charge $6,400 for tubal reversal surgery. You should send us your records from your tubal ligation for a free review. Sometimes patients cannot get their records. Even if you cannot obtain your records we would perform tubal reversal for you because we can reverse most tubal ligations most of the time.

    Please be aware starting April 1st 2019 the cost for tubal reversal surgery will increase to $6,900. The scheduling fee will increase from $125 to $150.

    Tubal reversal can be 60% to 70% effective. The other treatment to become pregnant is In-vitro Fertilization (IVF) and this treatment cost averages $14,000 and is about 40% effective for each try.

    Tubal reversal is possible when you have a history of multiple c-sections. We have many patients who have successful reversal and pregnancy with a history of c-sections. The biggest concern with multiple (3 or more) c-sections is the possibility of severe scar tissue. If severe scar tissue exists then reversal may not be possible.

    We estimate that about 1 out of 12 women with 3 or more c-sections will have severe scar tissue that can make tubal reversal more challenging and in some cases not possible. For these patients we offer a screening laparoscopy. You can consider this similar to a surgery insurance policy.

    The laparoscopy costs an additional $1,500. The screening laparoscopy fee will increase from $1,500 to $1,750.

    If you choose to have a screening laparoscopy we can look with a camera during the surgery and see if you have severe scar tissue. If you have severe scar tissue we can often make a different incision…so this can increase the success of your procedure. If your tubes are not repairable or the scar tissue is too severe then we would offer you a refund of your surgical fee.

    For more information: Screening laparoscopy and surgery refund

    For more information: Screening laparoscopy and scar tissue

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