Publication:

Outcome of recanalization and factors affecting it: a retrospective study at tertiary care center

Background In spite of availability of multiple methods of contraception, tubectomy remains most popular method of contraception in India, especially in rural population. For restoration of fertility, maximum patients prefer tubal recanalization over in vitro fertilization. Primary objective of our study was to evaluate pregnancy rate after recanalization surgery and to analyze factors affecting it.

Methods A retrospective observational study conducted in the Department of Obstetrics and Gynecology at Amaltas Institute of Medical Science, Dewas from April 2021 to April 2023 with a one year follow up.

Results Total 14 Patients of sterilization reversal were considered for the study. Commonest cause for reversal in our study was second marriage (57.14%). Pregnancy rate in our study was 57.14%; all were intra uterine pregnancies. Majority of the patients who got conceived belonged to the age group of 26-30 years. Patients with history of laparoscopic tubectomy had 87.5% conception rate as compared to 16% with history of open tubectomy. Maximum number of patients who conceived had interval of 3-6 years between sterilization and reversal (63.6%). Conception rate was 70% with final tubal length being more than 4 cm and 85% with isthmo-isthemic anastomosis.

Conclusions Patients who want tubal sterilization should be counselled about alternative spacing methods of contraception. Tubectomy should be done at isthmus through laparoscopic method as it causes minimum damage to tube. Final tubal length (>4 cm) and site of anastomosis (lsthmo-isthemic) are important factors for success of a recanalization surgery.