Complications of Tubal Reversal

Dr. John E. Nichols and Dr. John F. Payne take every precaution to minimize your risk for complications by performing our out-patient tubal reversals at the Piedmont Reproductive Endocrinology Group Surgery Center which has been certified by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Although with any surgery complications may occur. The most common complications include: infections (skin, pelvic, incision), bleeding (possibly requiring blood transfusions), damage to other pelvic organs (bowel, bladder, female organs, blood vessels), as well as reaction to medications and anesthesia. In general, these complications occur in less than 1% (1 out of 100) of patients undergoing any type of abdominal/laparoscopic surgery.

There is a 5-10% risk that your fallopian tubes can re-close or block after a successful tubal reversal surgery. Since this will be the second surgery on the tubes, scar tissue, adhesions or poor healing may re-close the tubes despite a successful reversal. It is generally recommended to have a hysterosalpingogram (HSG; an x-ray dye test to evaluate if tubes are open) to be performed 6 months after your tubal reversal if pregnancy has not occurred to rule out a possible tubal blockage.

There is a 10% risk of as ectopic or tubal pregnancy after having a tubal reversal. Again, since this is the second surgery on your delicate tubal structures this ectopic pregnancy risk is increased over the normal risk of about 2% in the general female population without prior tubal surgery. Early detection and treatment of ectopic (tubal) pregnancy with medications can prevent having to have surgery and greater tubal damage.