Tubal Ligation Reversal
Dr.Nagamani is an expert in tubal reversal and she has more than 25 years experience. She uses microsurgical techniques resulting in excellent pregnancy rates. She performs all the tubal reversals in a state-of-the-art outpatient surgical facility.
Microsurgical Tubal Reversal
Microsurgery is a term used for surgery requiring an operating microscope. This allows visualization and repair/reconstruction of extremely small fallopian tubes. Because of the microsurgical nature of a tubal reversal procedure, the procedure has to be done under general anesthesia. The surgery will last between one to two hours. Prior abdominal surgery, pelvic adhesions and obesity may prolong the tubal reversal procedure; however, most of procedures are completed in less than two hours. Keeping surgery time short is important to minimize the risk for infections, anesthesia complications, and shortening the recovery period. Dr.Nagamani, because of her vast experience and her microsurgical operative skills, optimizes success rates and minimizes the operative time.
After the tubal reversal procedure, the abdominal incision is closed with a special technique called a subcuticular closure. In this method a fine hidden stitch is placed under the skin, holding the incision together. The stitch dissolves within several weeks of placement and does not require any removal. Unlike other abdominal closures, this type of suturing produces optimal cosmetic results with only minimal abdominal scarring.
Despite requiring an abdominal incision in order to access the pelvic organs, the incision is quite small, which means that recovery is fast, allowing the procedure to be performed on an outpatient basis. Most patients go home several hours after the procedure on the day of surgery. Our team of anesthesiologists and nurses make sure patients are in a comfortable and stable condition before being discharged.
Patients are discharged home with pain medications, but should expect some degree of discomfort along the abdominal incision for approximately one week following surgery. Postoperative evaluation is done after one week of surgery to examine the abdominal incision and to ensure that recovery is occuring as expected.
Cost of Procedure
Total cost for the Tubal Reversal Procedure is $4,996 which covers everything including surgeon’s fee, anesthesia fee, operating room charges and post-operative care. This special price is offered for a limitted time
Deposit of $2,000 is required at the time of scheduling the surgery. The balance of $2,996 is due two weeks prior to the procedure. Financing is available through ' Care Credit’.
An overall success rate following a tubal reversal is approximately 80%. The majority of pregnancies tend to occur in the first 6 months following the procedure. Even though the tubal patency rates are high ( greater than 95%), the success of the procedure may be greatly affected by a variety of factors:
- Patient's age - pregnancy rates are higher with younger age (close to 90% in women less than 35)
- Type of tubal ligation - certain types of tubal ligations are more amenable to repair and lead to higher success rates
- Final tubal length following repair of 5 cm or more yields optimal results
- Sperm quality of the partner
- Prior abdominal surgery occasionally may affect success if there is scar tissue
- Other fertility factors – (diminished ovarian reserve in women over age 40, uterine fibroids, anovulation)
- The microsurgical technique - surgeon's experience and technique is one dominant factor for success
Since many factors influence success rate following a tubal reversal, pregnacy rate needs to be individualized to each patient.