Monday, February 13, 2012

Ask Us Anything: Can Scar Tissue Be Removed After a Tubal Reversal?

"I had a tubal reversal in March. In January, I had an HSG (hysterosalpingogram) x-ray test, and it showed that both tubes are blocked. Is there anything that can be done to get rid of the scar tissue? What is the cost?"

Dr. Ali Ghomi Responds:

Unfortunately, the tubal blockage or occlusion in your particular case is probably within the tubes. This is a potential adverse effect after tubal reversal that is caused during the healing process.

One would have to repeat the HSG to ensure that the appearance of blockage was not secondary to tubal spasm.

Repeating the procedure is also an option if desired. A minimally invasive approach to tubal reversal such as robotic-assisted technique may be considered.

Dr. Scott Zuccala Adds:

Tubal reversals that are complicated by scar tissue usually signify significant disease that may not be surgically correctable. A better approach would be to consider adoption.

The cost for any surgical procedure includes physician as well as hospital costs. Your insurance company is the best place to get a start on cost, to get a ballpark figure. Then you can shop around if you are paying out of pocket.

In today's healthcare environment with many plans now having a high deductible component, it is becoming the norm to shop for the best price.

About Our Physicians

Dr. Ghomi

Dr. Ghomi is the Director of Minimally Invasive Gynecologic Surgery and Chair of The Robotic Surgical Committee at Sisters of Charity Hospital.

In September 2011, Dr. Ghomi performed the area’s first tubal reversal surgery using the da Vinci Robotic Surgical System. Click here to learn more about tubal reversal.

Dr. Zuccala

Dr. Zuccala is a gynecologic surgeon at Mercy Hospital of Buffalo.

He practices obstetrics and gynecology, including minimally invasive surgery, and vaginal and pelvic reconstruction for prolapse and urologic incontinence surgery.

He was one of the first surgeons in the Buffalo area to perform minimally invasive gynecological surgery for non-cancerous conditions using the da Vinci® Robotic Surgical System.

If you have a question about your health, click here to ask our experts.

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