Women who have undergone tubal sterilisation, but now wish to get pregnant will need Laparoscopic keyhole surgery to reopen their fallopian tubes. Although this is a much more involved procedure than the initial sterilisation, it has a high success rate of approximately 85%. In addition, sterilisation reversal surgery means women can potentially conceive again without further medical treatment. In most cases it is a day-case procedure, with a two-week recovery period.

 

What is reversal of tubal sterilisation?

Sterilisation reversal surgery involves surgically repairing fallopian tubes that have been damaged by tubal sterilisation to re-establish patency and facilitate pregnancy.

 

The surgery is most successful for sterilisations that were carried out by laparoscopic keyhole surgery; much less so for those that were performed by burning the tube or at Caesarean section.

 

What investigations are required?

The screening processes are the same as for tubal surgery, without the need for tubal patency testing.

 

How do we perform reversal of tubal sterilisation?

This is usually a day-case procedure, performed by laparoscopic keyhole surgery. Not all sterilised tubes are reversible. All women/couples offered this procedure should ascertain reversibility of their tubes before proceeding with the procedure. The surgery entails cutting away the damaged portions of the fallopian tube(s) and re-connecting the healthy portions, to re-establish patency.

 

What can go wrong?

Potential risks are detailed in ‘risks of laparoscopic surgery’.