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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%.

252 thoughts on “Tubal Repair”

  1. Kisha says:

    I am 41 yrs old and I did a round of IVF this year. None of my embryos made it for implantation. I did IVF because of one tube being blocked and the other was burned when I had a fibroid removed in 2014. I was unaware of that at the time until I begin my IVF with another clinic. I was told that I had poor egg quality and that is why my embryos did not survive. I was also told to use a egg donor, which I really do not want to do. I truly do not wont to give up and I do not want to do IVF or use donor eggs. Is there still a chance that I could have my tube repaired to carry and have my own child again. I have 1 son that is 19yrs old. I know that I am getting older but I do not want too give up hope. I would love to have a child with my husband.

    1. Dr. Monteith says:

      You would need to send us your records from the fibroid removal and the tubal burning. It is possible we could help you. If the fibroid was large and removed abdominally I would be very concerned about severe scar tissue forming from that surgery and tubal repair may not be safe or possible. If it was a small fibroid then it may be okay. Call us at (919)977-5050 if you have any questions but seeing your surgery records is important to determine if you are a candidate. Also since you are age 41 time is important and I would not delay your decision for too long.

  2. Samantha says:

    I am 29 and my BMI is currently a 46. I have had 5 pregnancy’s with 3 full term and thru C- section. I also have Factor II Blood clotting disorder where I overly clot. I had no problems conceiving naturally before. I had a bilateral tubal ligation directly after my last C-section, 5 years ago. My husband and I regretted that decision the day we had it done. I have read your price and all of your info and am VERY interested in doing this procedure. I was just wondering if I would even be considered thru your eyes for it. Since I had that kind of tubal done and with the clotting disorder and my weight. What would I need to do to be eligible for the procedure? thank you so much for your time.

    1. Dr. Monteith says:

      Samantha

      1. Your BMI needs to be less than 37 to have surgery at our center
      2. You would have to have a hematologist send a letter clearing you for outpatient surgery and making recommendations regarding if you need a blood thinner before, during or after surgery. Before you do this you would need to pay a $125 scheduling fee and start the scheduling with our nurse. The nurse would then provide your hematologist a specific letter requesting answers to our specific questions.
      3. After the letter is sent to us you would need a phone or office consultation with me (Dr. Monteith) to discuss your high risk situation. This would be an additional $250. Only patients with high risk conditions are required to have these mandatory phone consultations with me before they can schedule surgery.

      In the past we just told patients like you they were not candidates. Now we try to make a careful evaluation of who would be an acceptable candidate and who would not be an acceptable candidate. To do this we need to complete the above steps.

      There is no reason to do any of the above until you get your BMI below 37….if you cannot do that then we would not consider you a candidate under any circumstances.
      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

  3. Anonymous says:

    Hi
    My tubes were cut & burned 13 years ago. I am not 36 with irregular periods but want to have another child, is it still possible to get pregnant after a reversal.

    1. Dr. Monteith says:

      Reversal and pregnancy are both possible for you. In general about 2 out of 3 patients become pregnant with tubal reversal surgery. 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

  4. Abena says:

    I had a tubal 17 years ago. I am now 44 and want to have a baby with my husband . My question is am I to old to get get a reversal

    1. Dr. Monteith says:

      Abena
      You are not too old but it is harder to become pregnant with increasing age but not impossible if you are having regular periods. I would advise you not delay your decision for too long.

      The chance of pregnancy after age 40 and tubal reversal is about 35% to 40%. We do have many patients who become pregnant with tubal reversal after age 40. Most of the women who become pregnant after reversal are between the age of 40 and 43.

      For more information: Tubal reversal and age

      The surgery at our center should be safe. Pregnancy should be safe as long as you dont have any severe medical conditions. It is harder to become pregnant with increasing age so I would not delay your decision for too long.

      To see more the success stories of older moms visit: Successful tubal reversal after age 40

      Here is a testimonial you may be interested in: “We Had Given Up” Tubal Reversal Mom Age 47

      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 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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