Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 12 , ISSUE 4 ( July-August, 2020 ) > List of Articles


Determinants in Outcome of Tubal Recanalization: A Prospective Cohort Study

Laxmi S Sangolli, Aruna Biradar, Sangamesh S Mathapathi, Some Gowda, Neelamma G Patil, BS Gamini

Citation Information : Sangolli LS, Biradar A, Mathapathi SS, Gowda S, Patil NG, Gamini B. Determinants in Outcome of Tubal Recanalization: A Prospective Cohort Study. J South Asian Feder Obs Gynae 2020; 12 (4):239-242.

DOI: 10.5005/jp-journals-10006-1796

License: CC BY-NC 4.0

Published Online: 28-09-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Introduction: Tubal sterilization is the most prevalent family planning method practiced in our country. According to National Family Health Survey (NFHS 4) (2015–2016), a total of 51.8% of married women use any method of family planning, of which female sterilization accounts for majority with 48.6%, use of intrauterine device (IUD) by just 0.8% of women, pills by 0.4% of women, and condom by 1.3% women.1 More than 45.5% women undergoing sterilization belong to young reproductive-age group of 20–25 years.2 The gold standard for recanalization has been microsurgical tubal recanalization through laparotomy. Laparoscopy can be used as an alternative route but requires high expertise.3 Although an option of in vitro fertilization is widely available, due to economic constraints people go for microsurgical tubal recanalization as a first option.2 Material and methods: The study involves all women coming to the Department of Obstetrics and Gynecology, Bangalore Medical Collage and Research Institute, Bengaluru, for reversal of sterilization between August 2010 and September 2012. Results: A total of 40 prospective cases were studied and followed up for at least 1 year of which intrauterine pregnancy was noted in 21 (52.5%) cases, 1 (4.7%) patient had ectopic pregnancy, and 2 (9.5%) had abortions. Conclusion: The study concluded that factors favoring successful tubal recanalization are age of the patient less than 30 years, interval between sterilization and its reversal less than 4 years, site of anastomosis being isthmo-isthmic, remaining tubal length being more than 6 cm, and when type of previous sterilization was by laparoscopic method.

  1. A study on knowledge, attitude and practice regarding family planning methods among women residing in peri-urban area of Bangalore city. Natl J Commun Med 2020;11(2):80–86. DOI: 10.5455/njcm.20190807124747.
  2. Correlation of prognostic factors and outcome of microsurgical tubal recanalisation. IOSR J Dent Med Sci (IOSR-JDMS) 2014;13(9 Ver. V):13–15.
  3. Tubal surgery or IVF-making the best choice in the 1990s. Int J Fertility 1995;40:291–302.
  4. Tubal recanalization-microsurgical tubal reversal anastomosis. Int Surg J 2018;5(12):3873–3876. DOI: 10.18203/2349-2902.isj20185010.
  5. Clinical study of factors affecting outcome of tubal recanalization using microsurgical techniques: a retrospective study. Int J Reprod Contracept Obstet Gynecol 2019;8:35–38.
  6. Microsurgical reversal of tubal sterilization. Fertil Steril 1997;68(5):865–870. DOI: 10.1016/S0015-0282(97)00361-0.
  7. Laparoscopic tubal sterilization reversal and fertility outcome. J Human Reprod Sci 2012;4(3):125–129. DOI: 10.4103/0974-1208.92286.
  8. Microsurgical tubal recanalization: a hope for hopeless. Indian J Plast Surg 2003;36:66–70.
  9. Evaluation of women undergoing sterilisation reversal and subsequent pregnancy outcome. J Ind Med Assoc 2006;104:182–185.
  10. A study of microsurgical renastomosis of thefallopian tubes for reversal of sterilization. J Obst Gyn India 2000;6:75–77.
  11. Microsurgical reversal of sterilisation- A 5 year analysis. J Obstet Gynecol Ind 2003;53(5):473–474.
  12. A study of tubal recanalization in era of ART (assisted reproduction technology). J Clin Diagnos Res 2016;10(2):QC01–QC03. DOI: 10.7860/JCDR/2016/17376.7243.
  13. Is reversal of sterilisation feasible? J obst Gyn India 2001;51:120–122.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.