Year: 2026 | Month: February | Volume: 16 | Issue: 2 | Pages: 325-331
DOI: https://doi.org/10.52403/ijhsr.20260236
Outcome After Successful Fallopian Tube Recanalization in a Rural Tertiary Care Hospital and Medical College: A Retrospective Study
Nilofer Angadi Rajasab1, Kalpana Basany1, Syed Ahmed Zaki2
1Department of Obstetrics & Gynecology, MediCiti Institute of Medical Sciences, 2Department of Paediatrics,
All India Institute of Medical Science, Bibinagar
Corresponding Author: Syed Ahmed Zaki
ABSTRACT
Objectives: To evaluate the reproductive outcomes following successful fallopian tube recanalization (FTR) in women with a previous history of tubal sterilization.
Methods: This observational retrospective study was conducted at Medciti Institute of Medical Sciences (MIMS), Hyderabad, between 2016 and 2024. Clinical records of women who underwent microsurgical tubal recanalization were reviewed. Outcomes assessed included pregnancy rates and factors influencing success, such as method of prior sterilization, type of tubal anastomosis, and post-reversal tubal length.
Results: Of the 16 women who underwent tubal recanalization, 50% achieved conception. Women with a history of laparoscopic sterilization had a higher conception rate (62.5%) compared to those sterilized by Pomeroy’s method (37.5%). A higher pregnancy rate (75%) was observed in women with a post-reversal tubal length greater than 4 cm. Isthmo–isthmic and isthmo–ampullary anastomoses were associated with a success rate of 25%.
Conclusion: Microsurgical tubal recanalization is an effective method for restoring tubal patency and achieving pregnancy in selected women, with acceptable success rates and low complication risk. It remains a viable fertility-restoring option, particularly in resource-limited settings.
Key words: Sterilization; Tubal recanalization; Microsurgical technique, ectopic pregnancy