Tubal Blockage Repaired with Tubal Ligation Reversal Surgery

by Sandra Wilson

Voluntary tubal blockage is done through tubal ligation. It is the blocked tubes that keep the sperm from getting to the egg and the egg from getting to the uterus. In order to remove this voluntary type of tubal blockage, you will need to have a tubal ligation reversal.

Tubal ligation is done by different techniques. One technique may cut and remove a piece of the fallopian tube whereas another will coagulate an area of the tube by means of an electrical current through forceps. One method will fold the tube and then place a ring over this fold while another places a clip across the narrow part of the tube creating the tubal blockage.

One other way to have your tubes tied is a fimbriectomy which removes the fimbrial end of the fallopian tubes. That’s the end that catches the egg from the ovary and starts the egg’s journey down the fallopian tube where it is fertilized, or not.

Yet one more method of tubal blockage involves the Essure sterilization method. In this method of tubal blockage, a spring like device is plugged into the fallopian tube opening into the uterus where it expands to fill the space. Soon scar tissue is formed around the Essure device preventing any sperm from entering the fallopian tubes.

Now to remove the tubal blockage created by whatever method, you will want to find a very experienced tubal ligation reversal specialist. First he will have to remove the damaged portions of the tube like in the coagulation method as well as removing the ring or clip and the damaged area it caused. Once all the damage is removed, the remaining sections will be sewn together. Check out other articles for a description of an actual surgery.

In the case of a fimbriectomy, a new opening into the fallopian tube will be created. A tubal ligation reversal specialist will then build a fimbrial end out of the inner lining of the tube. This way the cilia in that lining can now perform the function of catching the eggs from the ovary. For Dr. Berger’s patients, the success rate is about 56% following the surgery.

Although the Essure method of causing tubal blockage for voluntary sterilization is relatively new, there have already been women seeking its reversal. Dr. Berger does this type of tubal ligation reversal by removing the device and scarred tissue from the uterus and fallopian tube. Then he implants the end of the remaining tube into the uterus through a new opening. This method is tubouterine implantation. While not enough of these procedures have been done to women with the Essure device, the success rate for the implantation technique is 30 to 50%.

As you can see now, just because you have voluntarily undergone some form of tubal blockage in order to not have any more children, if you have changed your mind there is hope. The hope for removing voluntary, or in many cases even involuntary, tubal blockage lies in the tubal ligation reversal surgery performed by a top notch highly qualified and experienced surgeon.

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