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Advanced Fertility Center of Chicago ivf

Surgical treatment for tubal factor infertility

hydrosalpinx bocked and dilated fallopian tube
Hydrosalpinx, a blocked right fallopian tube prior to surgical repair
The end of the tube is stuck in pelvic scar tissue to the ovary

Page author


Background

Tubal factor infertility accounts for about 20-25% of all cases of infertility.

The treatment for tubal factor infertility is usually either tubal surgery to repair some of the damage or in vitro fertilization (IVF).

The pros and cons of surgery versus IVF are discussed on the tubal factor infertility page.

The pros and cons of tubal reversal surgery versus IVF for women who have had their tubes tied, clipped, or burned are discussed on the tubal reversal versus IVF page.


What can be done to repair damaged tubes?

The options for surgical treatment of tubal factor infertility depend very much on the degree of tubal damage.

Lysis of adhesions can be performed (resection of scar tissue) or blocked tubes can be re-opened with surgery. Various levels of reconstruction in between these two extremes is also possible.

Subsequent pregnancy rates depend upon several factors including the amount of tubal damage that was initially present before the procedure, the degree of damage to the internal lining of the fallopian tubes which can no be corrected, the age of the woman, the situation with the male partners sperm, the skill of the surgeon, and other factors.


Laparoscopy and laparotomy

Blocked fallopian tube opened at laparoscopic surgery
Laparoscopic repair of a blocked fallopian tube (neosalpingostomy)
Grasping instrument is holding end of tube at newly created opening, "O"

Laparoscopic photo album

Many tubal surgeries can be performed laparoscopically ("belly-button" or "Band-Aid" surgery). This allows the woman to go home the same day, return to work in 3-4 days, and have only small scars (each less than 1") on her abdomen.

However, not all tubal surgeries can be performed as well through the laparoscope as by laparotomy (bigger incision - about 4 inches long). This also depends on the skill and training of the surgeon.


Pregnancy rates and ectopic pregnancy rates after tubal surgery

According to published studies, approximate pregnancy rates by 12 months after tubal surgery are shown below. These numbers are average figures from a group of women that have had tubal surgery. In real life, each case is unique and should be assessed individually.

Type of surgery

Medical terminology

Pregnancy rate

Tubal pregnancy rate

Reconstruct damaged
end of tube
Fimbrioplasty 50% over 1-2 years 12% of pregnancies
Cut away scar tissue on tubes or on ovary Salpingolysis

Ovariolysis
45% over 1-2 years

6% of pregnancies
Make opening in
blocked tube
Neosalpingostomy 25% over 1-2 years 25% of pregnancies
Reconnect tubes after tubal ligation Tubal reanastomosis 40-70% over 1-2 years 4-15% of pregnancies
In vitro fertilization 
(for comparison)
IVF 50-60% per attempt
at our clinic
(age < 35, blocked tubes)
Our IVF success rates
1-5% of pregnancies
(women with blocked tubes)

4920 N. Central Ave
Suite 2C

Chicago, IL 60630

Phone: (773) 794-1818
Fax: (773) 794-1819

30 Tower Court
Suite F
Gurnee, IL 60031

Phone: (847) 662-1818
Fax: (847) 662-3001

820 E. Terra Cotta Ave (Rte 176)
Suite 118
Crystal Lake, IL 60014

Phone: (815) 356-1818
Fax: (815) 356-1866

TESTIMONIALS

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I am so grateful for Advanced Fertility Center. I just had my son Leland. I want to thank Dr. Catenacci and all of the nurses that helped us. Especially Ashley in the Crystal Lake office. You made this process easier by being supportive and positive. Thank you very much!

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Dr. Sherban and his staff are the most amazing, compassionate, and supportive people. After almost 5 years of trying to conceive, going through numerous tests and meeting with another clinic closer to home, who told me my chances even with IVF were still very low, a good friend recommended advanced fertility center of Chicago. Best decision we ever made! We now have 2 amazing children who are now 5 and 3 years old! I cannot stress enough how amazing this staff is, they make you feel like family!

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Our experience was amazing with Dr. Cantanucci and all of the nurses (especially Ashley). After ttc for 4 years and at 41 years of age, we became pregnant after 1 round of IVF, and had our beautiful boy this past October. Can't thank them enough!

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2/7/15 our son was born all thanks to the assistance of Dr. Sherbahn and his staff. Everyone was so helpful and here for all our questions, worries, etc. They want this for you just as much as you want this for you! Handled with pure professionalism and care from the very start! Thank you advanced fertility!

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