Dr. Bai O. Lee and staff
I have been in Ob/Gyn practice for many years in Broome County and have done thousands of gynecological surgeries including tubal reversal procedures. From these experiences, I have developed a safer and more successful tubal reversal procedure.
Most health care insurance companies pay for tubal ligation but do not cover tubal reversal procedures. Tubal reversal procedures are usually paid by the patient. The cost of tubal reversal is very high since it includes a surgeon's fee, assistant surgeon's fee, anesthesiologist's fee, and hospital costs.
In order to meet these demands for tubal reversals, I have developed an affordable program so that patients can have tubal reversals at a reasonable cost.
If you have a gynecological condition which warrants surgical intervention, a tubal reversal can be done at the same time with a small additional cost.
Prior to surgery, the patient should inform their insurance carrier that they will be having a self paid tubal reversal procedure so that their insurance may cover the cost of potential complications if they arise.
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This procedure will be done at Binghamton General Hospital as a one night stay over. The patient will be admitted 2 hours prior to the surgery and go home the next day. Surgery will take approximately 60 to 90 minutes under general anesthesia.
The surgical incision will be over the hair line in cross direction 2 to 3 inches long. Both sides of the tube will be reconnected, but only one side may be reconnected if one side has severe adhesion or damage. Long acting local anesthetics will be used in all layers of tissue to minimize post op pain.
The overall success rate is 60%; however success rate varies depending on the length of remaining tubes, patient's age, and quality of sperms. There is a slight increase of tubal pregnancy due to possible scarring in the tube from surgery. If the patient misses a menstrual period, she should seek gynecological care to rule out a tubal pregnancy.
After surgery, the patient will stay in recovery for about one hour until she recovers fully from anesthesia. Then the patient will go to her room and be discharged the next day. The patient needs a ride and help the first day.
After going home, the patient should stay home for a few days and gradually increase activity. The patient may use pain medication as prescribed.
Follow up care will be in one week following surgery or sooner if any complication exists. The patient should inform her gynecologist prior to surgery so that her gynecologist can expect post op care.
Potential complications during tubal reversal surgery include tears in neighboring organs such as bowel or bladder especially if adhesions present, excessive bleeding, infections, or complications from anesthesia. These are rare complications and any life threatening complications are extremely rare.
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