Tubal Ligation Procedure - Success Rate for Tubal Reversal

Published: 07th December 2009
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How successful your tubal reversal will be depends upon the tubal ligation procedure you had. There are several different ways to create the tubal blockage that creates your infertility but only a few are really tubal ligation methods in the strictest sense of the words.

To understand this, you need to know what tubal ligation refers to. Of course, the tubal part is easy. That means your fallopian tubes. The ligation part means to bind up or surgically tie with ligatures (or ties). While there are several methods such as coagulation, Adiana, Essure, clips, and rings which create tubal blockage, there are only three we will talk about here which involve ligatures. The good news is that tubal reversal success with each ligature method is very good.

The first tubal ligation procedure which involves ligatures is the granddaddy of all methods of tying your tubes. It was created by Dr. Pomeroy around a century ago. It's been around a long time and is where the colloquial of "tying tubes" comes from. It is still the most common method today.

In the Pomeroy tubal ligation procedure, working on one fallopian tube at a time, the doctor will double it up to make a loop. At the bottom of the loop, he will apply an absorbable ligature in essence tying the tube. Not precise, but think of it as tying a string around the bottom.

Just above the ligature, he will cut or resects out the doubled up section leaving two cut ends. As the ligature is absorbed, the ends will be covered over by the peritoneum essentially being scarred over so no sperm can travel up the tube nor egg from the ovary travel down the tube. In this manner, you are infertile. Tubal reversal success for this type of procedure is more than 60% and depends upon how much tube was removed.

The next two types of tubal ligation involving ligatures are variations. In the Parkland tubal ligation procedure, the fallopian tube is not doubled up. Instead two non-absorbable ligatures are applied along the mid segment a little distance from each other. The surgeon then resects, or cuts, the tube between the two ligatures and removes it. Again, your success rate will depend upon how much was removed and your age as well.

The Irving tubal ligation procedure is a variation on the Parkland. It is done the same way but finished slightly differently in that the segment that remains attached to the uterus is then sutured to and behind the uterus. The other segment's cut end is buried in the connective tissue underlying the fallopian tubes.

Tubal reversal of any of the above tubal ligation procedures is usually fairly easily accomplished when you have a doctor like Dr. Gary Berger or Dr. Charles Monteith who are world leaders in tubal surgery. The tubal reversal success rates will depend upon how much tube remains after the reversal surgery and how old you are. Those are the two important factors in these type of tubal ligations. The success rate can be up to 77% which is very good perhaps making this type of reversal your best bet following any one tubal ligation procedure.

To learn more about your tubal ligation procedure and see illustrations please visit the Chapel Hill Tubal Reversal Center website at tubal-reversal.net/ Not only can you learn about tubal reversal success rates, you can ask the staff any questions and meet up with other women who have had or want reversals.

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