Work

Retrospective evaluation of tubal patency and pregnancy rates of patients after tubal reanastomosis

Year: 2026

Type: article

Abstract: OBJECTIVES: The aim of our study is to evaluate the tubal patency and pregnancy outcomes after tubal reanastomosis in patients who previously underwent tubal ligation but currently desire fertility. MATERIAL AND METHODS: The study encompassed patients who underwent tubal ligation between January 2015 and November 2021 and were subsequently referred to City Hospital and University Hospital for further fertility treatment. Five patients who had undergone myomectomy with tubal re-anastomosis were excluded from the study. These patients were scheduled for hysterosalpingography (HSG) two months post-operation, and their tubal patency rates were assessed. Additionally, the pregnancy rates and outcomes were analyzed. RESULTS: The pregnancy rate following tubal re-anastomosis was 50.2%, with a live birth rate of 44.6%. Among the patients who achieved pregnancy, 74.1% reached full term. Hysterosalpingography (HSG) revealed bilateral tubal patency in 35 patients (74.4%) and unilateral tubal patency in 12 patients (25.5%). Finally, 9 patients (15.7%) declined to undergo HSG following the procedure. CONCLUSIONS: Should the patients seeking pregnancy have normal gynecological examinations, ultrasound results, hormone profiles, comorbidity screenings, and a normal spermiogram of the husband, tubal re-anastomosis should be considered, particularly in patients under 40 years of age.

Source: Ginekologia Polska

DOI: 10.5603/gpl.106052

Authors: Melike G. Bayman, Fatma K. Hamzaoğlu

Institutions: Konya City Hospital, Necmettin Erbakan University

Language: English

Topic: Reproductive Health and Contraception

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $431