What should you look for in a microscopic tubal reversal surgeon?
Microscopic tubal reversal surgery has been called the ultimate in microsurgical procedures and is indeed one of the most challenging surgeries in medicine. You’ll want a surgeon who has many years of performing microscopic tubal reversals with thousands of successes. If a surgeon’s partner has had thousands of successes, but he himself has been doing reversals for just a few years, you may want to keep looking.
What are the costs for a tubal reversal?
Our fee includes all costs – nothing is hidden – including consultations, surgeon’s fees, assistants’ fees, hospital fees, office visits, ultrasound, take-home medications, On-Q Pain Buster, and follow-up consultations to assure you a successful pregnancy. $6,750 is the fee for Dr. Rosenfeld to perform your Microsurgical Tubal Reversal.
Does Insurance cover tubal reversal surgery?
Most insurance won’t cover the actual procedure but they may cover things associated with the procedure such as blood work and anesthesia, etc.
What about the dye test?
Chromotubation, the dye test: The surgeon places die into the tubes to make sure they are watertight and perfectly aligned. It is time consuming but necessary.
What about adhesions?
A single adhesion could spell the difference between success and failure. You’ll want a surgeon who goes to the extra expense of using material such as Intercede which has been approved by the FDA to prevent surgical adhesions.
How many surgeries per day?
You’ll want a surgeon who doesn’t rush through surgery because there are multiple surgeries scheduled. Look for a surgeon who schedules no more than one or two procedures per day.
What about other gynecological problems?
You’ll want a surgeon who does everything possible to find any additional gynecological problems such as fibroids, polyps or other abnormal conditions which can be corrected during surgery. A thorough ultrasound before surgery and a hysteroscopy during surgery are typically used. Treatment of observed problems during the tubal reversal surgery will greatly reduce the chances of your needing additional surgeries before being able to conceive.
What about pain and mobility after your reversal?
Ideally you’ll want a surgeon who uses state-of-the–art technology, such as the EXPAREL, so your post-operative recovery can be as painless and comfortable as possible. The sooner you get up and around, the faster your body can get back to normal.
What about the size of the sutures?
You’ll want a surgeon who uses ultra-fine 10-0 nylon sutures and who applies two layers, recognized by all experts as providing the very best results. The smaller the suture, the better the alignment of the tube ends. The better the alignment, the less chance there is for adhesions which can delay or prevent conception.
Are there any hidden fees?
Be sure that the price quoted is not just the surgeon’s fee. Make sure the price includes anesthesia, operating room expenses, lab work, and follow-up appointments. Be sure that there are no hidden fees added because of your weight or other circumstances.
What about a phone consultation?
Dr. Rosenfeld provides a phone consultation at no cost. He will be able to give you more specific information about your expectations for the surgery after reviewing your tubal ligation report. Completing the online patient history form is also helpful.
What if my Bilateral Tubal Ligation surgery report is not available?
Dr. Rosenfeld can consult with you over the phone to try to determine what type of surgery you had and what pregnancy rate you should expect.
My tubes were tied 10 years ago, is it too late?
No, it’s not too late for a successful tubal reversal procedure. We see women everyday that had their tubal ligation 10 or more years ago.
