Tubal Reversal in Buffalo, NY
We are proud to offer affordable and state of the art robotic tubal reversal. Many of our patients travel from far to visit us for tubal reversal procedure.
Our Success Rate?
Our success is similar to what has been quoted in the medical literature. Many of our patients inquire about our specific success rate. According to published well designed studies the success rate of tubal reversal approaches 80%. We have every reason to believe that our success is similar. We have not studied our success since most of our patients live elsewhere. The success rate of tubal reversal procedure depends on many factors including surgical technique, age of the patient, the method by which the tubes were tied, the egg quality and ovarian function. Therefore, despite the best surgical methodology, success cannot be guaranteed since there are so many other factors involved in achieving a normal pregnancy.
Is Robotic Surgery Safe?
Dr Ghomi has been performing hundreds of robotic surgeries annually since 2009. Robotic surgery has become standard of care in many surgical procedures in the United States. Complications of robotic surgery is similar to traditional laparoscopic surgery. Robotic surgery enables the surgeon to perform delicate task of sewing the fallopian tubes together with unmatched precision and dexterity. The surgery is performed through four dime sized incisions. Patients are discharged home after few hours of observation. Increased body weight is not an impediment to performing robotic tubal reversal.
Does Is Matter How the Tubes Were Tied?
Yes. The method by which the tubed were tied affects the success of reversal. The more damage caused to the tubes and the more length removed, the worse the success. Burning of the tubes causes the most damage and is associated with lowest success rate. We still offer tubal reversal if burning or cautery used as a mean of ligation after providing detailed counseling. Additionally, there are circumstances where it may not be possible to reverse both tubes if one tube is found to be too damaged or too shortened to reverse during surgery. We still make every effort to reverse the tube that would provide the best chance of success. Reversing a damaged tube would increase the chances of developing tubal pregnancy in that tube.
What If I Had The Essure Procedure?
Dr Ghomi believes that Essure procedure cannot be reversed. Despite many online claims, there are no studies showing success after Essure reversal. Essure reversal to achieve pregnancy should be considered highly experimental. Essure coils are designed to cause tremendous tubal damage where the tubes meet the uterus. As a result, we do not offer tubal reversal after the Essure procedure.
What Is the Cost of Surgery?
We are pleased and fortunate to be able to offer one of the most affordable tubal reversal surgeries in the country that is performed robotically as opposed to open surgery. Total cost of surgery (including the surgeon’s fee, hospital fee and anesthesia fee) is about $6300.00. This cost of tubal reversal is not covered by most insurances. A payment of $150.00 is due at the time of your first office visit with Dr Ghomi. Payments can be made using credit card, check or cash. No Care Credit is accepted at this time.
If full payment is not received two weeks prior to surgery, your surgery will have to be canceled.
How Long Does It Take To Get Pregnant?
Normal pregnancy should be achieved within 12 months after surgery. We advise patient to undergo Hysterosalpingography (HSG) to investigate tubal potency if not pregnant within six months after surgery.
How Soon Before I Can Try To Get Pregnant?
The patients are advised to wait until next regular menstrual cycle before trying to conceive. This may take 1-4 weeks. In the past it was believed that early resumption of sexual activity might increase tubal pregnancy. Recent studies have refuted this belief and therefore delaying pregnancy is no longer routinely recommended after tubal reversal.
What Tests and Documents Are Needed Before Your First Visit?
We would like to see a copy of your tubal ligation report to ensure you are a candidate for reversal and counsel you properly about your rate success after reversal. Before surgery, we provide you with an order to get a pelvic ultrasound to rule out fibroids in the uterus. If large fibroids are discovered, they will need to be removed prior to the reversal. In certain situations, we perform both fibroid removal and tubal reversal at the same time.
What Is The Recovery Time?
Most patients return to work after 10-14 days. Pain medications are provided. In addition, Motrin and Tylenol may be taken
What Tests Are Needed Before Surgery?
- Recent Pap Smear Results
- Pelvic Utrasound
- Bloodwork Results
- EKG ResultS
- Chest X-Ray Results
- A Letter of Medical Clearance from you physician