Tuboplasty (For blocked fallopian tubes) - Khobragade Multispeciality Hospital

What is Tuboplasty?

Tuboplasty is a surgical procedure to repair and restore the function of blocked or damaged fallopian tubes in women, improving the chances of natural conception. Fallopian tubes play a vital role in fertility as they transport the egg from the ovary to the uterus, and tuboplasty aims to open, reconstruct, or remove blockages that prevent this process.Tuboplasty is an effective surgical treatment for women with blocked fallopian tubes, aiming to restore natural fertility and improve their chances of conceiving without assisted reproductive techniques.

Symptoms of Blocked Fallopian Tubes

Blocked fallopian tubes often do not show clear symptoms until a woman tries to conceive. However, possible signs include:

Difficulty in getting pregnant (infertility)
Pelvic pain, especially during menstruation or intercourse
Painful periods
Unusual vaginal discharge if infection is involved
History of pelvic infections or sexually transmitted diseases (STDs)
Previous ectopic pregnancy

Procedure / Treatment for Blocked Fallopian Tubes (Tuboplasty)

1. Diagnosis:
Before the surgery, tests like Hysterosalpingography (HSG), laparoscopy, or ultrasound are done to confirm blockages.

2. Surgical Process:
Tuboplasty is usually performed under general anesthesia using:

Laparoscopic Tuboplasty: Minimally invasive, using small incisions and a camera for precision.
Microsurgical Tuboplasty: Involves the use of a microscope for delicate repairs, especially when tubes are severely damaged.

The surgeon removes the blockage, separates adhesions, or reconstructs the tubes to restore patency (openness). In some cases, tubal reanastomosis (rejoining tubal segments) is done if the tube was previously tied for sterilisation.

3. Recovery:
Patients generally recover within a few days to weeks, depending on the surgical method used. Regular follow-ups are recommended to monitor healing and fertility outcomes.

Prevention of Blocked Fallopian Tubes

While not all cases are preventable, the following measures reduce the risk:

Practicing safe sex to avoid STDs
Timely treatment of pelvic infections
Maintaining good reproductive health
Early treatment of pelvic inflammatory disease (PID)
Avoiding multiple abortions or unmonitored intrauterine procedures

Benefits of Tuboplasty

Restores natural fertility by reopening blocked tubes
Avoids or delays the need for IVF in some cases
Improves chances of natural conception
Less invasive if done laparoscopically, leading to faster recovery
Helps women with previous tubal ligation who desire pregnancy again

Types of Tuboplasty

Fimbrioplasty:
Repairs the fimbriae (finger-like ends) of the tubes if they are damaged or stuck together.
Salpingostomy (Neosalpingostomy):
Creates a new opening in the tube if the end is blocked (commonly for hydrosalpinx).
Tubal Reanastomosis:
Rejoins previously cut tubes, often after sterilisation reversal.
Salpingolysis:
Removes adhesions around the tubes to free them.
Cornual or Isthmic Tuboplasty:
Corrects blockages near the uterine end of the tube.