The Fallopian Tube blockage characteristically obstructs meeting of the sperm with the egg with the result that the egg does not get fertilized. In some cases, the tubal blockage prevents the movement of the fertilized egg to the uterus where the development of a zygote to an embryo and thereafter to a fetus and, eventually, birth of a baby takes place through the vagina. Generally, a surgical operation is performed for correcting this one of the common causes of female infertility.
What kind of surgery is required will entirely depend upon which part of the tube is blocked and the enormity of the blockage. Some of the tubal procedures are performed by using microsurgical methods like open abdominal surgery or laparoscopy, wherein a small incision is made in the lower abdomen.
The treating surgeon is expected to have undergone special training and must have special training and capability in performing surgery using microsurgical methods and laparoscopy. The under-mentioned general overview of some of the common tubal methods is being explained to add to your knowledge.
Tubal Reanastomosis is generally performed for reversing the tubal ligation or repairing a part of your Fallopian Tube that has been damaged by some ailment. The unhealthy or diseased tube is removed and the two ends of the tube, that are in the pink and having no ailment, are rejoined.
The procedure is usually performed with the help of a traditional surgery known as laparotomy, but some experts prefer doing the procedure by using the minimally invasive surgery known as laparoscopy.
Salpingectomy is the surgical procedure wherein Fallopian Tube is removed to improve the successful in vitro fertilization (IVF) process. It is performed when a tube has enlarged the hydrosalpinx fluid buildup. According to some studies IVF success rate will reduce on an average with the presence of hydros in comparison to the cases wherein hydros are removed before performing the IVF procedure.
As the hydros have a depressing impact on the IVF outcome, women are generally given the choice of undergoing surgery for correcting the hydroslpinx issue. The surgery is generally performed either by removing the entire tube or dividing it by cutting transversely close to the intersection with the womb (uterus).
Salpingostomy is performed when the Fallopian Tube end is obstructed by a hydrosalpinx fluid buildup. With this procedure, a new opening is created in the portion of the tube closed to the ovary. However, it is quite usual that the adhesions (scar tissues) reappearing after the salpingostomy procedure and the tube gets blocked again.
Fimbrioplasty is performed when the portion of the tube close to the ovary is partially blocked or has developed scar tissues that are preventing normal pickup of the egg. This procedure is performed to rebuild the edging ends of your Fallopian tube. For the tubal blockage next to your uterus, a non-surgical method known as selective tubal cannulation is generally considered the preferred choice of treatment.
What happens after the surgery?
After performing the open abdominal surgery, you are required to stay in the hospital for 2-to-3 days. Antibiotics for preventing any kind of infection are prescribed for you. Depending on the enormity of the surgery, the nature of your work and your overall health and stamina, you may probably return to work in about four to six weeks’ time.
After performing laparoscopic surgery on you, you may be required to stay in the hospital briefly. You may return to perform your routinely chores in a few days to a couple of weeks, entirely depending on the kind of procedure.
Why the Fallopian tube surgery done?
The Fallopian tube surgery is generally done in case:
- Hysterosalpingography has shown blocked Fallopian Tubes, or
- The blocked Fallopian tubes have an accumulated fluid, known as hydrosalpinx, or
- If you wish to have your tubal ligation reversed
- If you have had undergone Pelvic Inflammatory Disease or any other sexually transmitted infection, like Chlamydia or Gonorrhea.
Chances of success?
The success of your Fallopian Tube surgical procedure will depend on the exact place of the blockage in the tube and the enormity of the ailment, besides the existence or nonexistence of other infertility problems.
- Clearing the proximal blockage (blockage in the portion of the Fallopian tube that is very close to the uterus) has a higher probability of success. These proximal blockages, like the mucus plug, generally are more functional than structural obstructions, such as scarring and other occlusion.
- Nearly 60% women on an average having proximal obstruction in their Fallopian Tubes have reportedly been successful in achieving pregnancy after the tubal surgery.
- About 20% to 30% of women having the obstruction near the ending of their Fallopian Tubes will have successful pregnancy after having gone through the tubal surgery.
- The size of your Fallopian Tubes that remains after having gone through the tubal surgery is vital to the smooth functioning of the tube. If a large portion of the tube has been removed to get rid of the blockage, the probability of achieving pregnancy after the tubal surgery gets reduced.
- The success of the tubal ligation reversal surgery depends on the procedure that was used at the time of tubal ligation surgery, besides the woman’s age to attain fertility again.
There are many other conditions that influence the outcome of the surgery, including:
- Whether the woman having gone through the surgery has adhesions (scar tissues) in her pelvis
- Any other disease in the pelvic area
- The surgeon’s skill level and his/her experience in the line of infertility treatment.
Risk factors of the Fallopian Tubes Surgery
The surgery comes with several risk factors that include:
- Infection in the pelvic region
- Adhesions (Scar tissue) may begin forming on the organs of your reproductive system and binding them to your abdominal wall or with other organs.
- The higher risk of developing ectopic (tubal) pregnancy after the tubal surgery.
Points to ponder regarding the tubal surgery:
- Some Fallopian tube issues are required to be treated with more than one kind of surgery or process. You are advised to consult your doctor about the success rate of the suggested procedure. The idea is to get the infertility treated and bear a healthy baby in your womb.
- Blocked Fallopian Tubes Diagnosis may be performed after three to six months after the surgery to check whether the tubes have been opened.
- If you do not achieve pregnancy within a span of one or one-and-a-half year after having the tubal surgery, your doctor may like to perform a laparoscopy to the condition of your Fallopian Tubes or may advise you to go in for in vitro fertilization (IVF).
- With Fallopian Tube surgical procedure, you may have more than one pregnancy without going in for other infertility treatments or the IVF.