Tubal Reversal

Some women have decided in the past to have a tubal ligation, but due to changes in life circumstances, they are again interested in becoming pregnant. Mid-Iowa Fertility is one of few locations in Iowa where tubal reversal surgery is offered.

Success Rates of Tubal Reversal

The contemporary procedure of choice for tubal reversal is a microsurgical repair. High pregnancy rates after microsurgical repair are consistently reported, making this form of reparative surgery increasingly popular. This procedure occurs under microscopic magnification through an open incision – the so-called “bikini cut” incision. Pregnancy rates after tubal ligation reversal operations range upwards to 90%, and they correlate well with the final length of the tube after the procedure. The highest pregnancy rates are noted when lengths are greater than 4 cm. Sterilizations causing minimal damage to the tube, as seen after a Hulka clip of Falope ring procedure, are most likely to be successfully reversed. However, many pregnancies are conceived after any type of tubal sterilization reversal.

Recovery Process After Tubal Reversal Procedure

This procedure can usually be done on an outpatient basis. You will be discharged with pain medication. The recovery time after the surgery is usually 10 days, and the patient should not lift anything heavier than 20 pounds the first 4 weeks after surgery. All of the sutures are placed under the skin so no suture removal or staple removal is required after this procedure. The patient may begin trying to become pregnant immediately after surgery, and virtually all the pregnancies occur within the first year after surgery. Because of the recovery time, several surgeons have attempted to perform this procedure through a laparoscope, which will minimize the recovery time. However, early results with this technique have not been as promising as hoped for, and the open incision technique under microscopic magnification is still the preferred method.

Potential Risks of Tubal Reversal

Complications 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.

Costs & Coverage

Drs. Young and Cooper perform the Tubal Reversal Procedure (also called Tubal Reanastamosis) at the Lakeview Surgery Center and West Lakes Surgery Center. The procedure is performed on an outpatient basis.

This surgical procedure is not covered by any insurance carrier, so you are required to pre-pay the full amount prior to surgery. The physician’s fee for the procedure is $4,000. In addition, you will have an initial consultation fee of $185 which is payable whether or not you elect to move forward with the procedure.

Additional fees you will incur for this procedure include costs from the Lakeview Surgery Center or West Lakes Surgery Center for your procedure and post-surgery recovery as well as anesthesia services from Associated Anesthesiologists. To receive a quote of charges for their services and payment requirements you would need to contact them at the numbers listed below.

Special offer for patients traveling in for surgery: Country Inn and Suites offers discounted room rates for patients needing to arrive Thursday for surgery scheduled on Friday mornings. Make reservations by clicking here.

What Our Patients Are Saying

“I had my tubes tied after we adopted 3 teenagers and got pregnant with our youngest son. A year later, I regretted it. I had a tubal reversal by Dr. Young. I had one open tube after the surgery. It took us two years and one miscarriage to conceive on our wedding night. Baby Daxx is now 6 months old. Even if we had never gotten pregnant, the tubal reversal fixed a lot of the issues I was having with my own body. Best choice I ever made for sure.”

-Emily Anne Hanshaw