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Tubal Reversal Surgery

Preparing for your tubal reversal surgery

You’ve discussed the options available to restore fertility and have decided to schedule a tubal anastomosis, or tubal reversal surgery. Our fertility specialists welcome questions about the process and the expected outcome, and we understand that knowing the mechanics of a tubal reversal procedure can provide added comfort. Our goal is to help you visualize the restoration of the Fallopian tubes—how it occurs and the surgical techniques that we employ.

Texas Fertility Center reproductive surgeons specialize in performing microsurgery, and have a combined 100+ years of experience with fertility surgeries such as tubal reversal surgery. Our board certified physicians have logged hundreds of surgical hours, instructed other surgeons in the tubal reversal process and authored research papers and textbook chapters focused on tubal anastomosis.

You are in good hands.

According to the American Society for Reproductive Medicine: “Only surgeons who are very facile with laparoscopic suturing and who have extensive training in conventional tubal microsurgery should attempt this procedure. Laparoscopic microsurgery is technically demanding and is best accomplished by those with the requisite training and experience.”

Precision microsurgery reconnects the fallopian tubes

A tubal ligation, also referred to as sterilization, severs the fallopian tubes so that an ovulated egg cannot travel along this path:

  1. From the ovary through the fimbria of the distal segment of the tube
  2. To the sperm that is waiting in the fallopian tube
  3. On to the proximal end of the tube where a fertilized egg (embryo) enters the uterus for implantation

This passageway is essential for successful natural conception, and our microsurgeons are experts at repairing the occluded ends.
Your post-operative reports will determine which approach that we take, as each tubal ligation has a unique approach and outcome. Our fertility surgeons specialize in resolving the most complex cases.

  • Tubal coagulation
  • Tubal rings
  • Tubal clips
  • Hysteroscopic tubal occlusion

Tubal reversals require only small incisions thanks to microsurgical techniques. Our experienced reproductive surgeons may take one of two approaches for this minimally invasive fertility surgery.

  1. A mini laparotomy will leave a small scar, less than three inches, at the bikini line.
  2. Robotic assisted laparoscopy requires only half-inch incisions in the pubic region and abdomen.

Both surgical techniques will provide access to the fallopian tubes. The disconnected, or ligated, ends are threaded together using a stent and reconnected using very fine sutures that preserve the delicate inner layer of the tube where the sperm encounters the egg.

Texas Fertility Center physicians are all trained and certified in the da Vinci® Surgical System, and may choose to use robotics to enhance visibility and dexterity.

Mini Laparotomy da Vinci®
Favorable outcomes
Shorter surgery
More costly surgery
Reduced recovery time
Less post-operative pain
Preferred method for obese patients

A typical tubal reversal surgery timeline

We have surgical privileges at both hospitals and surgical centers that give our patients the best pricing for the tubal anastomosis surgery.   Most of our minilapartotomy tubal anastomosis procedures are done at Bailey Square Surgery Center.  We usually prepare our patients to expect day surgery with the option of an overnight stay, for no additional charge. Most  robotic assisted laparoscopic surgeries are performed at St David’s Round Rock Medical Center and are outpatient procedures

  • One to three days before surgery, you will complete intake forms at the surgery center and receive instructions for the night before.
  • The day of surgery, you will arrive in the morning to check in and meet your anesthesiologist. Your Texas Fertility Center surgeon will visit with you prior to surgery.
  • The surgery usually lasts approximately a2 to 3 hours, and you will have news of the prognosis when you awake.
  • We will see you back at Texas Fertility Center for a post-operative visit and guidance for your recovery. Expect to return to work within 7-14 days.

Our goal is to restore your ability to have a natural pregnancy or pregnancies. Contact us at Texas Fertility Center, or click here to review the credentials and surgical proficiencies of our reproductive surgeons.

Meet Dr. Anthony Propst

Harvard Trained Fertility Micro-Surgeon

Harvard Trained Fertility Micro-Surgeon

Dr. Propst Discusses Robotic Fertility Surgery