Tubal Recanalization Post Tubal Ligation Surgery

Tubal recanalization is a microsurgical technique which needs significant training and expertization in handling the tissues meticulously. The success depends on patience, perseverance, and perspiration on the part of the surgeon. In recent years, increasing number of couples of lower age and lower parity have begun to request for sterilization. When these couple experience the death of a child or if they divorce or remarry following death of husband, they may wish to be able to have another child. The availability of microsurgical recanalization procedures would bring hope to those in need of these services and would improve the confidence of clients who are acceptors of voluntary sterilization.

In general, tubal reversal could be right for you if you had only small parts of your fallopian tubes removed, or if your tubes were closed with rings or clips.

Some surgeons say the best candidates for tubal reversal are women younger than 40 who had their tubes tied right after chilbirth, a procedure called postpartum tubal ligation.

Before the Procedure

Your doctor will likely suggest you and your partner get a complete physical exam. That way you can find out if there’s anything that might keep you from getting pregnant after a tubal reversal.

Your exam may include blood and imaging tests to make sure your ovaries are normal. You’ll also need a test called a hysterosalpingogram (HSG), to check the length and function of your remaining fallopian tubes. An HSG can be done using dye and X-rays or saline and air along with ultrasound.

Your doctor may also suggest that your partner get tests such as a sperm count and semen analysis to rule out any fertility problems.