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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%.

312 thoughts on “Tubal Repair”

  1. Anonymous says:

    if you have a full hysterectomy is this procedure possible

    1. Dr. Monteith says:

      No you cannot get pregnant if you have had a full hysterectomy.

  2. Stephanie says:

    I have had both a HSG and a Laparoscopy & Chromotubation. It has been determined that both of my tubes are blocked distally. What would treatment for this type of blockage cost?

    1. Dr. Monteith says:

      Stephanie
      The answer to your question depends on your age and the reason for your tubal blockage. It would be best if you call our office (919)977-5050 to speak with a nurse. You can send us your records documenting your blockage for a free review.

  3. Sophia says:

    How much is surgical fee?

    1. Dr. Monteith says:

      Sophia
      We charge $6,400 total plus $125 to schedule.

      We have two flexible payment options for you if you dont want to pay in full for surgery: (1) start a prepayment plan with us or (2) finance your reversal surgery.

      Prepayment plan. We do have a prepayment plan that allows you to save towards your surgery. You need to start it with at least $500 and you can contribute any amount over the next 3 years. When you have saved the full amount then you can have your surgery. You can have the surgery anytime within 3 years of starting your plan.

      If you dont have your surgery by the end of the third you you are refunded all of your money less $500. Surgery discounts, when available, are offered to prepayment account members only.

      For more information: Tubal Reversal Prepayment Plan

      Financing reversal surgery. We work with two companies who will help you finance surgery. You would apply for financing directly with United Medical Credit. The link to their company and the application for financing is on our website.

      For more information: Financing Reversal Surgery

      We charge $6400 total for tubal ligation reversal and $7500 for Essure reversal 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!

      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.

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once. On average, about 2 out of every 3 women become pregnant with tubal reversal surgery.

      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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