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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%.

304 thoughts on “Tubal Repair”

  1. Shanna says:

    I had my tubal about 4 years ago. Where can I send my operative note too to see if I have any chance for a reversal

    1. Dr. Monteith says:

      Shanna
      To send us your tubal ligation records for a free review use our ‘Fax Cover sheet’ and follow the instructions here: Contact Us: Sending Records For Review

      You can fax us your records to the number found on our Contact Us page or you can email us records to ContactUs@tubal-reversal.net

  2. Alex says:

    I just had my essure removed in July and I had a HSG test done and it showed my tubes blocked. Their guess would be from scar tissue after the surgery. My husband and I would like to know if anything can be done to help us become pregnant again. Thank you.

    1. Dr. Monteith says:

      If you were our patient you would need to call us to discuss. If you were the patient of another doctor you would need to send us your Essure reversal operative note and a report from the HSG x-ray. You can find out how to send us records by looking at the “Contact Us” page on our website http://www.tubal-reversal.net

  3. Susan says:

    18 years ago I had my “tubes tied” I regret it every day since I was going through post partum depression when I made my decision was the dr wrong in doing it and what are my chances of getting pregnant

    1. Dr. Monteith says:

      Susan
      Your doctor was not wrong. They were only doing what you asked them to do.

      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.

  4. Keony says:

    My left tube was removed and right is damaged. Can the right one be repaired?

    1. Dr. Monteith says:

      You would have to send us the records describing your tubal damage and we can let you know if you are a candidate. We need more information about the right tube.

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