Women’s Health Care: Tubal Ligation Reversal

We have a successful program to reconnect your tubes after having a tubal ligation. The microscopic operation is done through a “mini-bikini” incision. This allows you to go home the same day and greatly decreases the cost of the operation. The mini-bikini incision is slightly longer than two inches. The ends of the tubes are microscopically reconnected in a three- to four-hour procedure. Most patients can go back to full activity (except heavy lifting or exercise) in three to four days.

Success Rate

Tubes remaining open: The tubes we have reconnected over the last 10 years have remained open in greater than 95 percent of patients.

Pregnancy Rates: The chances of getting pregnant after tubal ligation reversal depend on your age and the length of your tubes. The length of tube left depends on the type of tubal ligation previously performed. Pregnancy rates are greater than 70 percent for women less than 30 who have had clips applied using a laparoscopy or had their tubes tied after delivery. The success rates for women over 40 is unfortunately less than 10 percent.

Risks

Serious problems, such as injury to bladder or intestines, infection or serious bleeding are very uncommon, and occur in less than 1/100 surgeries.

What information is needed prior to surgery?

Our physicians will review your medical and surgical history with you. Prior to your consultation appointment, we recommend that you obtain the following:

• A copy of your operative report from your tubal ligation, so that the chance of success can be estimated for you.
• It is recommended, but not required that your husband get a semen analysis to make sure that there are no male factor infertility issues present. This appointment should be scheduled with our Andrology Laboratory at (937) 208-5071.
  

Please bring these records with you to your first appointment.

Pre-operative laparoscopy

Doing surgery to look inside with a laparoscope is the most accurate way to estimate your chances of success prior to surgery. However, this procedure usually costs more than the tubal reversal itself, so it is done only in selected cases as determined by you and your physician.

Who is not a candidate for this surgery?

• Women weighing more than 170 pounds (some exceptions for tall women)
• Women older than 45 years of age
• Women with serious medical problems or chronic health conditions will need clearance for surgery AND pregnancy.

How to find out more

Call (937) 208-6810.
A consultation with Dr. Lawrence Amesse can be made by calling Wright State Physicians Women’s Health Care. The initial consultation will be billed to your insurance if possible. If your insurance does not cover infertility evaluation, or if you do not wish us to bill your insurance, a consultation fee of $75 will be collected at the time of the visit.

Instructions for scheduling surgery

Once you have decided to proceed with surgery, please call our nursing staff at (937) 208-2087 to schedule a pre-operative History and Physical appointment. The pre-operative History and Physical appointment will be scheduled one to two weeks prior to the scheduled surgery. Please bring to the History and Physical appointment any operative, laboratory or other reports you may have. Also please provide payment for all services two weeks prior to the surgery date.

Cost

The total cost for this procedure is $11,000, and must be paid in full two weeks prior to the surgery. Payments will include:

• A cashier's check or money order for $8,500 made payable to: Miami Valley Ambulatory Surgery Center. This covers the facility fee for the surgery center, the fee for anesthesia services, and pre-admission testing and laboratory studies.
• A cashier's check or money order for $2,500 made payable to: Wright State Physicians Women’s Health Care. This is the professional fee for the physician's services.
  

Cancellations

• If you cancel your surgery after paying the fees, your fees will be retained and applied to the rescheduled surgery.
• If you decide not to reschedule surgery, you may request a refund:
  • Wright State Physicians Women’s Health Care will refund the entire surgeon's fee ($2,500).
  • Miami Valley Surgery Center will retain $1,000 and refund the rest of your fee to you. This retained amount can be applied to any surgery or procedure subsequently performed at the Center.