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Tubal ligation reversal

Tubal ligation reversal is surgery done to allow a woman who has had her tubes tied (tubal ligation) to become pregnant again. The fallopian tubes are reconnected in this reversal surgery. A tubal ligation cannot always be reversed if there is too little tube left or if it is damaged.

Why the Procedure is Performed

Tubal ligation reversal surgery is done to allow a woman who has had her tubes tied to become pregnant.

Insurance plans often do not pay for this surgery.

Risks

Risks for anesthesia and surgery are:

  • Bleeding or infection
  • Damage to other organs (bowel or urinary systems) may need more surgery to repair
  • Allergic reactions to medicines
  • Breathing problems or pneumonia
  • Heart problems

Risks for tubal ligation reversal are:

  • Even when surgery reconnects the tubes, the woman may not become pregnant
  • A 2 to 7% chance of a tubal (ectopic) pregnancy
  • Injury to nearby organs or tissues from surgical instruments

Before the Procedure

Always tell your doctor or nurse what medicines you are taking, even medicines, herbs, or supplements you bought without a prescription.

During the days before your surgery:

  • You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other medicines that make it hard for your blood to clot.
  • Ask your doctor which medicines you should still take on the day of your surgery.
  • If you smoke, try to stop. Ask your doctor or nurse for help quitting.

On the day of your surgery:

  • You will usually be asked not to drink or eat anything after midnight the night before your surgery, or 8 hours before the time of your surgery.
  • Take the medicines your doctor told you to take with a small sip of water.
  • Your doctor or nurse will tell you when to arrive at the hospital or clinic.

After the Procedure

You will probably go home the same day you have the procedure. Some women may need to stay in the hospital overnight. You will need a ride home.

It may take a week or more to recover from this surgery. You will have some tenderness and pain. Your doctor will give you a prescription for pain medicine or tell you which over-the-counter pain medicine you can take.

Many women will have shoulder pain for a few days. This is caused by the gas used in the abdomen to help the surgeon see better during the procedure. You can relieve the gas by lying down.

You may bathe 48 hours after the procedure. Pat the incision dry with a towel. DO NOT rub the incision or strain for 1 week. The stitches will dissolve over time.

Your doctor will tell you how long to avoid heavy lifting and sex after the surgery. Return to normal activities slowly as you feel better. See the surgeon 1 week after surgery to make sure healing is going well.

Outlook (Prognosis)

Most women have no problems with the surgery itself.

A range from 30 to 50 percent up to 70 to 80 percent of women may become pregnant. Whether a woman becomes pregnant after this surgery may depend on:

  • Her age
  • The presence of scar tissue in the pelvis
  • The method used when tubal ligation was done
  • The length of the fallopian tube that is rejoined
  • The skill of the surgeon

Most pregnancies after this procedure occur within 1 to 2 years.

Alternative Names

Tubal re-anastomosis surgery; Tuboplasty

References

Deffieux X, Morin Surroca M, Faivre E, Pages F, Fernandez H, Gervaise A. Tubal anastomosis after tubal sterilization: a review. Arch Gynecol Obstet. 2011 May;283(5):1149-58. PMID: 21331539 www.ncbi.nlm.nih.gov/pubmed/21331539.

Monteith CW, Berger GS, Zerden ML. Pregnancy success after hysteroscopic sterilization reversal. Obstet Gynecol. 2014 Dec;124(6):1183-9. PMID: 25415170 www.ncbi.nlm.nih.gov/pubmed/25415170.

Review Date 2/23/2015

Updated by: Daniel N. Sacks MD, FACOG, Obstetrics and Gynecology in private practice, West Palm Beach, FL. Review Provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.