What is the process for Tubal Reversal Surgery?
Step 1: Health Assessment
At your initial consultation, your fertility specialist will review your medical history and details of your past operation. If the male partner has no previous children, we will also perform a semen analysis to assess sperm quality. for tubal reversal include the normal risks of surgery including infection, bleeding, damage to the bowel or bladder, and death from anesthesia. These risks are quite small compared to a more major surgery such as a hysterectomy. There is also a slightly increased risk for a tubal pregnancy after a tubal reversal procedure, so if a menstrual period is missed, the patient should immediately obtain a blood pregnancy test known as a quantitative hCG level. If this is positive, then this result should be followed up in 48 hours with another blood test and then an early ultrasound examination to make sure the pregnancy is in the uterus (womb) and not in the fallopian tubes.
Step 2: Procedure
Tubal reversal is a short (1-hour) outpatient procedure that we offer at one of two local surgery centers. At Mid-Iowa Fertility, our microsurgical repair (mini laparotomy) technique utilizes microscopic magnification to operate through a small “bikini cut” incision. Sutures are placed covertly under the skin and do not require removal. Our microsurgical repair technique gives you the best chances of success; although some clinics offer this procedure laparoscopically, current data on that technique are not promising.
Step 3. Recovery
Following the procedure, you will be discharged with a prescription for medication to manage any pain. Patients typically recover within 10 days, however, they should restrict lifting anything heavier than 20 pounds for 4 weeks.
Step 4. Follow Up
Patients may begin trying to become pregnant immediately after surgery. Regardless of your pregnancy status, we always follow up with patients 4 weeks after surgery (via telehealth or in person) to assess your recovery and review next steps in your family building plan.
Success Rates after Tubal Reversal
High pregnancy rates (up to 90%) are consistently reported after microsurgical tubal repair and virtually all the pregnancies occur within the first year after surgery. Factors that impact your individual chances of success with tubal reversal surgery include tubal length (after the procedure); the patient’s age and BMI; and the sperm quality of the male partner. The type of surgical technique used for ligation can also affect tubal length (and therefore impact your chances of success), however, many pregnancies are conceived after any type of tubal reversal.