Tubal Ligation Reversal Information

Patient information and approach
Risks
Success rate
Cost
How to find out more
Information needed prior to surgery
Instructions for surgery
In case of cancellation

Patient Information for Tubal Ligation Reversals

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.

Approach

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.

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.

Success Rate

Tubes remaining open: The tubes we have reconnected over the last 8 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.

Cost

As of May 1, 2005, the total cost for this procedure is $5,600, and must be paid one week prior to the surgery.

• Pre-admission Labs:

$100

• Operating Room:

$1,800

• Anesthesia:

$1,200

• Surgeon’s Fee:

$2,500

A check for $2,500 should be made out to: Women’s Health Care.

How to find out more

Call 937-424-1562. A consultation appointment can be made by calling Women’s Health Care. The initial consultation will be billed to your insurance if possible. If your insurance does not cover infertility evaluation or you do not wish us to bill your insurance, a fee of $50 is required at the time of the visit.

What information is needed prior to surgery?

Dr. Hurd will review your medical and surgical history with you. Prior to surgery, it is recommended that we obtain:

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 he does not have a low count.

If you have any of this information, please bring it to your first visit.

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, so is only done in selected cases as determined by you and Dr. Hurd.

Women who are not a candidate for this approach

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

Instructions for Scheduling Surgery

Once you have decided to proceed with surgery:

Call Erin at (937) 424-1562 to schedule the surgery and 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 might have with you.

Two certified checks, made out to:

Miami Valley Ambulatory Surgery Center, for $3,100.
University Women’s Health Center, for $2,500.

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 can request a refund:

University Women's Health Care will refund the entire surgeon's fee ($2,500).

Miami Valley Ambulatory 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.