WHAT IS A TUBOPLASTY ?

One of the most effective methods for prevention of pregnancy is tubal ligation. This procedure is employed universally for limiting the size of the family. Tubal ligation is performed free of charge in Iran for women who choose to use this modality for family planning. Tubal ligation is usually done during cesarean section. Sometimes interval tubal ligation is done through mini laparotomy or laparoscopy. A tuboplasty is a surgical repair of the fallopian tubes, which carry the fertilized egg from the ovary to the uterus, often these tubes become damaged intentionally for the purpose of sterilization or unintentionally by previous infections, surgery, or scar tissue produced by endometriosis. The inside of the tube is very small, a little less than the diameter of a ball point pen cartridge in some areas.

The fallopian tube is very complex structure. It not only functions as a conduit for the egg and the sperm to meet, but also provides nourishment for these germ cells during their journey. Often, a damaged portion of the tube can be removed and the healthy ends sewn back together. If the end of the tube is closed, it can be reopened and tied back in place. Each of these types of tuboplasty or repair has a different success rate. Success rates greatly depend on the age of the woman, the amount of the remaining tube and the technology used (1). There is a controversy about whether in vitro fertilization (IVF) or surgical reversal for tubal ligation are done when woman regrets after this procedure due to insufficient counseling. However, valid reasons for reversal surgery exist if the family loses their child or children in an accident, or if the woman marries again due to divorce in first marriage or due to death of her husband. These women may request reversal surgery after tubal ligation to be able to bear another child. There are some reports about reversal of tubal ligation (1, 2).