How is a Tubal Reversal Performed?
Prior to a tubal reversal procedure, your doctor may recommend that you and your partner complete a physical examination. This is done to rule out any mitigating factors that may prevent a woman from becoming pregnant even after the surgery. Doctors may go about performing a tubal reversal in several ways. In some instances, doctors may use robotic or laparoscopic surgical equipment, make a small incision in the abdomen, and reconnect the fallopian tubes this way. (Robotic and laparoscopic equipment come with tiny cameras attached that allow doctors to see.) Or, doctors may decide to make a small decision in the abdomen in order to remove blockages within the tubes, or repair scar or damaged tissue along the tubes. Tubal reversal typically lasts about 2-3 hours and is an outpatient procedure. Recovery time may vary.
Another common form of tubal reversal is transcervical “balloon tuboplasty.” This method uses a balloon that is inserted into the woman’s vagina and through the cervix until it reaches the fallopian tube. Then, the balloon is inflated and effectively clears the blockage.
What is the Success Rate for Tuboplasty?
The success rate of this procedure depends on several factors. When we evaluate our patients for possible tubal repair, we review the report of the tubal ligation to determine the feasibility and potential success rate in their particular case.
However, since most women who have had a tubal ligation have no other fertility problems, reopening their tubes is often sufficient to restore fertility. This will give them a chance to conceive every month.
The length of time it takes to conceive depends on the individual, but most patients find that they can get pregnant within six months after the surgery. In some cases, it can take up to a year. Conception success rates after tubal ligation reversal procedures are as high as 65% one year following the tubal reversal.