Tubal reversal surgery, also known as tubal ligation reversal or tubal reanastomosis, is a procedure performed to restore fertility in women who have undergone tubal ligation (having their fallopian tubes tied) and wish to conceive again. At SHIFAA PAN African Hospitals, our expert gynecologic surgeons offer tubal reversal surgery as an option for women seeking to reverse their sterilization and achieve pregnancy.

Procedure:

Tubal reversal surgery involves the surgical reconnection of the fallopian tubes that were previously divided or blocked during tubal ligation. The procedure is typically performed under general anesthesia and may be done using microsurgical techniques to ensure precise and delicate tissue handling. During the surgery, the blocked or damaged portions of the fallopian tubes are carefully excised, and the healthy ends are meticulously reattached using fine sutures.

Indications:

Tubal reversal surgery may be considered by women who have undergone tubal ligation in the past and now desire to conceive naturally. Candidates for tubal reversal should have adequate ovarian reserve and healthy fallopian tube segments remaining after the reversal procedure.

Evaluation:

Before undergoing tubal reversal surgery, patients undergo a comprehensive evaluation to assess their candidacy for the procedure. This evaluation may include:

• Review of medical history, including details of the previous tubal ligation procedure.
• Physical examination to assess pelvic anatomy and overall reproductive health.
• Ovarian reserve testing to evaluate the quantity and quality of the eggs.
• Hysterosalpingogram (HSG) or laparoscopy to assess the patency and condition of the remaining fallopian tube segments.

Postoperative Care:

After tubal reversal surgery, patients are typically discharged home on the same day or the following day, depending on their recovery. They are advised to avoid strenuous activities and heavy lifting for several weeks to allow for proper healing. Follow-up appointments are scheduled to monitor recovery and discuss fertility optimization strategies, such as timing intercourse and monitoring ovulation.

 

Who is a candidate for tubal reversal surgery?

Women who have undergone tubal ligation in the past and now wish to conceive naturally may be candidates for tubal reversal surgery, provided they have healthy remaining fallopian tube segments.

 

What factors affect the success of tubal reversal surgery?

The success of tubal reversal surgery depends on factors such as the age of the patient, the type of tubal ligation procedure performed, the length and health of the remaining fallopian tube segments, and other fertility factors.

 

How soon after tubal reversal surgery can I try to conceive?

Patients can typically resume attempting to conceive within a few weeks to a few months after tubal reversal surgery, depending on their recovery and individual circumstances.

 

What are the alternatives to tubal reversal surgery?

Alternatives to tubal reversal surgery include in vitro fertilization (IVF), where eggs are retrieved from the ovaries and fertilized in a laboratory before being transferred to the uterus for implantation.

 

How long does it take to recover from tubal reversal surgery?

Recovery time after tubal reversal surgery varies from person to person but typically involves several weeks of limited activity and follow-up appointments with the surgeon to monitor healing and discuss fertility plans.

 

What is the cost of tubal reversal surgery?

The cost of tubal reversal surgery varies depending on factors such as the surgical technique used, the facility where the procedure is performed, and any additional tests or consultations required. Patients should consult with their healthcare provider or surgeon to discuss the cost and potential insurance coverage.