Gynaecologist & Endoscopic Surgeon

Laparoscopic Tubal Reversal

A/Prof Cooper is one of the few surgeons within Australia who can successfully perform tubal reversal via laparoscopy as a day only procedure.

His published results are comparable to traditional results via open surgery. He is an acknowledged expert in advanced laparoscopic surgery and has been an invited speaker and demonstrating surgeon on tubal reversal throughout Australia, New Zealand and Asia.

The laparoscopic technique uses magnification and allows a day only procedure with much less pain, discomfort, disfigurement and adhesion formation than the traditional open method. The scars are almost identical to the original procedure when the sterilisation was performed.

The major factor for success relates to the quality of a woman’s eggs and hence her age. Other factors to consider include the type of reversal (clips being the easiest to reverse, whilst “cutting and tying” are more difficult), previous surgery, other gynaecological conditions and semen quality. These should be discussed with A/Prof Cooper prior to surgery. In those patients older than 40 reversal is likely to be more cost effective and efficient than IVF. (Petrucco Research Paper)

The alternative procedure is IVF. (Genea)

 

Please click on the images below for descriptions and larger images.

 

Fertility Outcomes

Fertility Outcomes Following Laparoscopic Tubal Re-anastomosis Post Tubal Sterilisation. Aust N Z J Obstet Gynaecol 2002; 42: 3: 256; Philip Kaloo and Michael Cooper, 2002.

 

Studies

Tubal Reversal Pregnancy Study – 2011. tubal-reversal.net (USA)

Tubal Reversal Pregnancy Study – 2009. tubal-reversal.net (USA)

 

Cost

As of 1st July 2009 this procedure was allocated a Medicare Item Number which means you will be able to claim a rebate from Medicare in relation to Dr Cooper’s fee.

Dr Cooper’s team (surgeon, assistant and anaesthetist) generally charge approximately $4,600.

The hospital fee is charged separately but ranges from $4,500 to $5,500.

(These charges are subject to change at short notice).

 

Appointment

You can make an appointment by calling our office on (02) 9233 3546

or

by using the online Appointment Enquiry

For those patients from outside Sydney an initial consultation can be made via the telephone and then an appointment on the day before surgery.  It is advisable to stay within the Sydney area for a few days following the procedure.

 

 

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1 year ago
How Does Surgical Volume Affect Gynecologic Surgery Outcomes?

More evidence that low volume surgeons have more problems: https://t.co/gw77JTNAao

Dr Kaunitz suggests an honest self-assessment of our experience level when planning for surgical care of our patients.

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