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

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.