da Vinci Robotic Microsurgical Tubal Reversal

For women who wish to have a tubal reversal, we offer state of the art Robotic Assisted Microsurgical tubal reversal using the most advanced surgical tools available today, and are able to still do this at a very affordable cost.  Without question, having a tubal reversal performed laparoscopically is associated with a much faster recovery, less pain, and less internal scarring, limiting the chance of damaging the fragile fallopian tubes.  However few surgeons are can do this procedure laparoscopically, and for those that do, because of the limitation of standard laparoscopy, sacrifices have to be made in the surgical technique compared to the older standard of having an open incision and using a surgical microscope.

By using the da Vinci Robotic system, we are able to provide you with the best of both worlds, performing a true microsurgical tubal reversal technique, while doing this as an outpatient procedure with a fast recovery and less chance of internal scarring that can affect the newly opened tubes.

FAQ

How is a tubal reversal performed?

There are three methods by which a tubal reversal can be performed.  These include the old-fashioned “open” method, standard laparoscopy, and Robotic Assisted Microsurgical techniques.  In the past, patients who underwent the “open” method had a 3-4” incision in their lower abdomen to reach the uterus and tubes.  Microscopes were then used to open the tubes and sew them back together.  This method allowed precise surgery to be performed, but by using an open incision, patients had a much longer recovery, usually requiring a week or more from work.  The open incision also inherently causes scar tissue, which we just hoped did not affect the tubes.    Through laparoscopy, patient recovery is much faster, and less scarring inside occurs.  The drawback of this procedure is that due to limitations in the instruments, even the best surgeons cannot perform as precise of a tube repair as they could previously do under a microscope by hand.   This could possibly sacrifice the success of the surgery.   With the use of the da Vinci Robotic surgical system, the best of both worlds are combined, allowing a true microsurgical repair to be done, with a quick recovery and low chance of forming internal scar tissue.   Typically one small incision in the belly button (10mm wide), and three other small incisions (7mm wide) are made.   This procedure is by far the best for the patient, providing several advantages to ensure that you have the best possible outcome

Who is a good candidate for a tubal reversal?

Tubal reversal success is dependent on the method in which the tubal was first performed.   The highest success comes with those that have had “clips” or “rings” placed on the tubes.   These methods damage the tubes the least.   In some cases, a segment of tube is removed, most commonly done right after a delivery.  These methods are termed a “Pomeroy” or “Parkland” method, and in most cases are reversible.   Tubes that have been “burned” are often overly damaged and may not be reversible, though each case is different.   It is helpful to obtain a copy of the surgical operative report to better determine if a tubal reversal could be performed

Fertility is very dependent on the age of the woman.   A tubal reversal is most successful if a woman is 35 years of age or less.   For women who are over 37 years of age, studies have shown that a tubal reversal may not be the most cost effective therapy for trying to conceive.  These patients are better suited to go directly to IVF.

Is a tubal reversal covered by insurance?

In nearly all cases, insurance does not cover reversal of sterilization.    Performing a tubal reversal and trying to get insurance to cover the costs is considered insurance fraud and puts the patient and physician at legal risk.

Why don’t you perform this at an outpatient surgery center?

We only perform Robotic Assisted Microsurgical Tubal Reversals at an accredited fully staffed hospital.   Freestanding outpatient surgical centers do not offer the use of the advanced da Vinci Robotic Surgical System.  We also feel that it is the safest for patients to have surgery in a hospital.   The procedures are all very safe, but in the event that any unforeseen complications would arise, a hospital setting offers you the full resources and staff to properly care for you.   If complications occur in a surgical center, you must be transferred by an ambulance to a hospital to receive the proper care, possibly wasting valuable time.   Having your surgery performed in a hospital is always in your best interest.

How much does a tubal reversal cost?

Though the old fashioned “open” technique can be performed for slightly less due to the use of less surgical equipment, we believe the drawbacks of this procedure significantly outweigh any cost savings.

We have been able to arrange an exclusive rate for a Robotic Assisted Microsurgical Tubal Reversal.  The costs are listed below:

Robotic Assisted Microsurgical Tubal Reversal Fees

Hospital Fee                               $ 4,000

Anesthesia Fee*                         $    950

Surgeon Fee                                $ 1,800

Total Fees                                     $ 6,750

*Anesthesia fee depends on surgical time.  This listed fee could be slightly more or less, but typically is +/- $100

All fees are paid separately to each party and are due in full on the day of surgery or before.

You can arrange a consultation with Dr. McCoy by calling our main office at 904-399-5620

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16 Comments

  1. Tisha
    Posted April 9, 2012 at 4:09 pm | Permalink

    Do you have a BMI for tubal reversals

  2. Posted April 19, 2012 at 7:24 am | Permalink

    No, there is not a BMI limit to tubal reversals. In addition, we do not charge additional fees based on your BMI as some practices may do. Thanks- Dr. McCoy

  3. KatieK.
    Posted May 21, 2012 at 9:04 am | Permalink

    Is there a payment to help a patient make payments until paid in full? Some physicians offer this. Just curious.

  4. Posted May 26, 2012 at 7:37 pm | Permalink

    The fees are paid separately to the hospital, anesthesia and our office. The fees are negotiated rates requiring payment in full up front. Third party financing companies, such as Springstone, can be used if needed. — Dr. McCoy

  5. Posted June 8, 2012 at 9:18 pm | Permalink

    Is this a out patient surgery or does it involve a 3 day stay in the hospital

  6. Posted June 9, 2012 at 11:49 am | Permalink

    This is done outpatient. You can go home within a few hours of surgery. Most people can be back to regular activities and work in 2-3 days. –Dr. McCoy

  7. Veleria roche
    Posted June 15, 2012 at 2:17 pm | Permalink

    If im coming from the bahamas can I send the payments to the places before coming to have my surgery done and would it cost me more….

  8. Posted June 16, 2012 at 2:00 pm | Permalink

    That can be done and taken care of over the phone with the use of a bank card or credit card prior to the time of surgery.

  9. Ling
    Posted July 13, 2012 at 12:08 pm | Permalink

    Hi,

    I need to speak to anyone regarding the tubal reversal. I have my tube tie 19 years ago. I am 47 now. I wish to have my tube untie. I know that my chances are not high but really like to know more.
    Please call me at 305 7336990

    Thank you
    Ling

  10. Posted July 15, 2012 at 6:19 pm | Permalink

    Tubal reversals are not usually cost effective after a woman is over the age of about 38-39 years old. At 47, reversing your tubes would not really be a feasible option because even if reversed the chances of pregnancy are extremely low. Even without your tubes being tied, at 47, the chance of conceiving with your own eggs is extremely slim. The only feasible option would be through the use of donor eggs, which would not require the tubes to be reversed.

  11. Chelle
    Posted July 23, 2012 at 5:00 pm | Permalink

    Hello Dr. McCoy, I currently have insurance that will pay 50% for the reversal of any sterilization procedure. I had the Pomroy method done 10 years ago and would like to have the tubal reversal procedure. It’s hard finding a provider and facility both in network. I have done research and you are in network with my insurance company. My question now is what hospital do you perform these procedures at?

  12. Posted July 24, 2012 at 9:35 am | Permalink

    Chelle,
    I have several options on where to perform them at. However, I do have one preferred hospital which is St. Vincent’s. They are the only ones that have the specialized instruments for the robotic procedure. If you contact my office, we can try to answer any other questions and facilitate this procedure.

    Thanks,
    Travis McCoy, MD

  13. Maria
    Posted December 17, 2012 at 12:23 am | Permalink

    Hi, I have no credit cards nor debit but I do however have a checking accounts with checks, are checks accepted as forms of payments??

  14. tracy abstance
    Posted December 23, 2012 at 2:28 pm | Permalink

    i am 38 years old and i had my tubes tied about 14 years ago after my last baby. i have since re married and wish to have a child with my new husband but i believe that my tubes were burnt and tied. we dont want to take a risk of having multiples so what are my options?

  15. Posted December 24, 2012 at 5:48 pm | Permalink

    I really would have to review the operative notes from your tubal ligation. Many times they can be reversed, but in the case of severe damage, a reversal may not be the most successful option. In that case, IVF is the best option. I understand the fear of multiples, and multiples are never a goal. If a person goes through IVF, though, they can be conservative and often can transfer only one embryo nearly eliminating that risk.

    Dr. McCoy

  16. Posted December 24, 2012 at 5:55 pm | Permalink

    We accept checks, cash, or credit cards as payment.

    Dr. McCoy