Tubal Recanalization - IVF | ICU | ICSI | OI/TI

Tubal Recanalization

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What is Tubal Recanalization?

Tubal recanalization is a medical procedure that gives women the chance to conceive naturally again after previously undergoing tubal ligation surgery, which is a form of permanent birth control.

Who can opt for Tubal Recanalization?

It’s mainly recommended for women who have had tubal sterilization but now wish to have another child due to changed circumstances.

What are the prerequisites for Tubal Recanalization?

Before undergoing the procedure, your doctor will assess several factors, including:

  • Your age (those younger than 37 years of age typically see better results)
  • The type of tubal ligation previously done (cut, clips, rings)
  • The time elapsed since the sterilization surgery
  • The remaining length of the fallopian tube
  • Making sure other infertility factors are ruled out
  • The procedure will be done under anesthesia for your comfort

How does Tubal Recanalization work?

There are two primary approaches:

1

Open Tubal Recanalization through Mini Laparotomy

OTR-ML is a traditional method in which a surgeon makes a small incision in the abdominal area, usually in the lower abdomen, through a minimally invasive surgical technique known as mini-laparotomy. The surgeon gains access to the fallopian tubes and carefully removes any obstructions, such as scar tissue or blockages, allowing for the restoration of normal tubal function.

2

Laparoscopic Tubal Recanalization

A modern method using a laparoscope. Here, the surgeon removes the damaged portion of the tube and reconnects the cut ends of the fallopian tube using a microscope and specialized microsurgical instruments. A coloured dye is then injected into the fallopian tube to check for leakage and confirm its patency.

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Post-Tubal Recanalization procedure

After the procedure, you may plan for a natural pregnancy. More than one pregnancy can be planned post-surgery. If the procedure is successful, there might be no need to opt for IVF. However, there can be some possible complications, such as infections, ectopic pregnancies (where the embryo implants within the tube), or the procedure itself failing. If conception doesn’t occur within six months post-recanalization, an HSG (hysterosalpingogram) test might be suggested.