Pregnancy After Tuboplasty As A Recanalization Procedure Following Tubal Ligation

Sohail Mahmood Ch, Sana Ujala, Usman Mehmood

Abstract

Objective

To determine the rate of pregnancy in patients with recanalization by tuboplasty after tubal ligation.

Study design

Descriptive case series.

Place & Duration of study

Bahawal Victoria Hospital / Quaid-e-Azam Medical College Bahawalpur,  from January 2008 to December 2017.

Methodology

This study included all patients who underwent tuboplasty after tubal ligation.  During the study period 150 patients requested for reversal of tubal ligation via tuboplasty, out of whom 29 were included found most suitable for this procedure. Tuboplasty was done via open abdominal approach. Patients were followed up for one year to observe the pregnancy rate in this cohort of patients.

Results

Twenty nine patients underwent tuboplasty of whom 3(10.34%) were lost to follow up two months after surgery. Twenty (76.9%) women conceived in this series. Six (23.07%) patients did not conceive even after one year of tuboplasty. Hysterosalpingography (HSG) was then performed on these six patients. Three (50%) had bilaterally patent tubes, 2 (33.33%) had unilateral occlusion of fallopian tubes while 1 (16.6%) had bilateral tubal occlusion on HSG.

Conclusions

Success rate of pregnancy after tuboplasty in women who underwent bilateral tubal ligation was good if most suitable candidates were selected and an effective technique was used for tubal recanalization.  It is an alternative to ICSI (Intra-cytoplasmic Sperm Injection) and IVF (In-vitro Fertilization) on account of lower cost and lack of religious conflicts.

Key words

Bilateral tubal ligation, Tuboplasty, Pregnancy rate.