Predictors of successful tubal reversal
There are several factors which influence the results of tubal ligation reversal surgery. The most important in determining the prospect of success are:
Your age is the single most important factor influencing pregnancy rates and take home baby rates after tubal ligation reversal. The younger you are the higher the chance of successful pregnancy. The reason for this is that women are born with all the eggs (oocytes) they will ever produce. Eggs are held in a state on incomplete cell division up until just prior to ovulation. Over time they they are vulnerable to undergo abnormal cell division leading to an uneven separation of chromosomes (intracellular structures which carry genes). This leads to an increasing number of abnormal eggs with age, decreasing pregnancy rates as well as increasing miscarriage and congenital abnormality rates.
Type of tubal sterilisation
There are numerous ways of performing tubal sterilisation procedures. The type of tubal ligation can have a substantial impact on reversibility. This is particularly so if you had had a 'cut and tie' ligation performed at caesarian section. Conversely, sterilisation carried out with 'clips', 'rings' and by bipolar diathermy are the easiest and therefore most successful to reverse
If you have had a tubal ligation performed by cut, tie or burn at caesarian section approximately 95% of sterilisations are reversible.
If you had had a sterilisation procedure performed by laparoscopic clips, rings or bipolar diathermy over 99% of sterilisations performed by these methods are reversible
Length of remaining Fallopian Tube
The length of normal fallopian tube following a tubal reversal is an important predictor of pregnancy. It is influenced by the type of sterilisation procedure (as above) and the position of the tubal blockage.
If you have a history of serious gynaecological problems such as fallopian tube infection, endometriosis or damage to her ovaries this may reduce pregnancy rates following tubal ligation reversal.
High powered operating microscopes, delicate microsurgical instruments and stitches that are so fine it is almost impossible to see them with the naked eye are used to re-establish patency of each fallopian tube and reverse tubal ligation with the greatest accuracy. Precise surgical methods and very accurate suture placement maximise the chance of restoring fertility.
With over 2000 tubal reversal operations undertaken in more than 25 years I have performed more tubal reversals than any other reproductive microsurgeon currently practising in Australia.
It is only by continually performing large numbers of tubal reversal operations that is it possible to obtain consistently high success rates, reassuring you of being the wisest choice of microsurgeon to undertake your tubal reversal.
The results from tubal reversal operations are exceptional. For the average woman undergoing tubal reversal in my care, surgery is successful in leading to open fallopian tubes greater than 95% of the time.