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TUBAL REPAIR SURGERY
EXPLAINED

We exclusively specialize in tubal reversal surgery and the surgical repair of blocked fallopian tubes.

Most of our patients travel to our center for reversal of tubal ligation, but we also have patients who come for tubal surgery to repair fallopian tubes blocked from scar tissue.

Often this scar tissue has formed because of a previous pelvic infection, surgery, or an ectopic pregnancy. This scar tissue can often form either at the beginning or at the end of the fallopian tube.

Tubal blockage caused by scar tissue can often be repaired with microsurgical tubal surgery. This can allow many women an alternative to in-vitro fertilization and the chance to become pregnant naturally.

Hydrosalpinx
Tubal Blockage At The End

The most common type of tubal blockage is when scar tissue forms at the very end of the fallopian tubes. This causes the tubal fimbria (the area of the tube where they egg is received from the ovary) to close. This type of tubal scar tissue will prevent pregnancy from occurring.

ampullary salpingostomy for hydrosalpinx repairThe most common cause for blockage at the end of the tube is from a previous pelvic infection, but any insult to the tube (ectopic pregnancy, endometriosis, surgery) can cause this type of tubal blockage.

When the tubal blockage is severe the fallopian tube will swell with fluid and the swollen tube is often called a tubal hydrosalpinx.

A hydrosalpinx can be repaired with a microsurgical salpingostomy procedure. During this procedure the scar tissue is removed and the end of the tube is reopened. This surgical repair will allow pregnancy to occur.

Fimbriectomy
Fallopian Tube Blockage At The End

fimbriectomy can be repaired with ampullary salpingostomy procedureSome women will undergo an uncommon type of tubal ligation where the fimbrial ends of the tubes are tied, cut, and the fimbrial tissue is removed.

This type of tubal ligation procedure is uncommon and is called a fimbriectomy tubal ligation.

Fimbriectomy can be repaired with a microsurgical salpingostomy and allow women the ability to become naturally pregnant.

Microsurgical Salpingostomy

When the tubes are blocked either from a hydrosalpinx or fimbriectomy this can be repaired with a microsurgical salpingostomy procedure.

The chance of pregnancy after microsurgical salpingostomy depends on the age of the patient and the health and length of the remaining tube.

The pregnancy rate at one year following microsurgical salpingostomy is approximately 30 to 40%.

Tubal Blockage At The Beginning Of The Tube

It is less common to have blockage at the beginning of the fallopian tube. The most common reason to have blockage at the beginning of the fallopian tube is from an Essure sterilization procedure. The next most common reason to have blockage at the beginning of the tube is from Salpingitis Isthmica Nodosa (SIN).

tubouterine-implantation-for-repair-of-proximal-blockageSalpingitis Isthmica Nodosa is a condition which is not very well understood but often occurs in the beginning of the fallopian tube as it travels through the muscle of the uterus.

This condition causes progressive tubal scarring that can cause patients to have multiple ectopic (tubal) pregnancies. Ultimately this condition can progress to complete tubal blockage.

This condition can often be reversed through a tubouterine implantation procedure. We commonly perform tubouterine implantations for reversal of Essure sterilization, but this type of tubal repair can also correct blockage in the beginning part of the tube from other causes.

The pregnancy rate one year following tubouterine implantation ranges from 25 to 50%.

230 thoughts on “Tubal Repair”

  1. Carla smith says:

    I am curious to see if you can fix my tubes a dr cut the piece of tube that i had clamped up when he was suppose to be just removing the clamp so im curious if you can help and yes i have had 3 csections but im fine with you doing a different scar to do it. My records are at my doctor’s office showing my tubes and everything i have tried mini ivf and i wanna give myself the best hope by doing this. Do ya have a weight restriction on who you operate on?

    1. Dr. Monteith says:

      Carla
      Call us ….you will need to send us your records for a free review.

      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.

      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) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you about tubal 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

  2. Jennie Hemphill says:

    I had both my fallopian tubes taken after ectopic pregnancies. Can anything to be done to fix them?

    1. Dr. Monteith says:

      If your tubes were removed then you will need to have IVF.

  3. Renee says:

    I am 27 years old I’ve had 3 births via c section and I had a bilateral tubal ligation during my 3rd cesarean im not sure if they were cut tie or burned will I be a candidate for the tubal reversal and will I have a chance of getting pregnant afterwards

    1. Dr. Monteith says:

      Renee
      We should be able to reverse your tubes. You should send us your tubal ligation records for a free review (if available).

      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.

      Tubal reversal can be 60% to 70% effective. In-vitro (IVF) costs average $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 an surgery insurance policy. The laparoscopy costs an additional $1,500.

      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) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

      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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