Tubal reversal ( reanastomosis)
Tubal reversal (reanastomosis) is a procedure to reconnect the fallopian
tubes following a tubal sterilization.
This is done by removing the damaged portion
of the fallopian tube and rejoining the
healthy portions of the tube. The surgery
provides a newly opened tube through which
the sperm and egg can pass, providing
a new opportunity for conception each
menstrual cycle. About 85 percent of the
time the tubes are successfully opened,
but this does not guarantee a pregnancy.
About 50-65 percent of patients undergoing
tubal reanastomosis will have a baby,
if there are no other factors preventing
pregnancy, and the success rates are highly
dependable on the type of damage done
to the tubes during the initial procedure
of tubal ligation. Before a procedure
it is important to obtain copies of the
operative note describing your sterilization
procedure. This is very important step
since there are several ways to perform
a sterilization and some sterilization
methods are not reversible. You will need
to bring the operative report to your
first doctor's visit. At this visit, you
will have a complete history and physical
examination, and speak with a doctor.
The physician will recommend a laparoscopy
to evaluate whether enough healthy tube
is left to attempt tubal reanastomosis.
At the time of laparoscopy a hysteroscopy
can be done in order to asses the shape
of the uterine cavity.
Unfortunately, most health insurance plans do not reimburse for tubal
reanastomosis. You should contact your insurance carrier first.
You may be reimbursed for the x-ray procedure or diagnostic laparoscopy.
You will need to pay for your initial visit on the day you are seen.
Costs will vary depending on the difficulty of your procedure, the length
of time the surgery requires, and how long you must stay in the hospital.
If interested in learning more call Dr. Marcovici at 860-409-1930 for
an appointment!!!
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