Scheduleing Tubal Reversal Surgery

How Far In Advance Do You Need To Contact Dr. Berger In Order To Schedule Surgery For Tubal Reversal?

Women who choose Dr. Gary Berger as their tubal reversal doctor are anxious to schedule surgery for the first available surgery dates. Julia Smith, Nurse Administrator at Chapel Hill Tubal Reversal Center, responds that appointments typically fill up arond 4 weeks ahead of time with Monday and Friday appointments the first choice for most women. If a patient has flexibility regarding the day of the week they choose for their appointment, tubal reversal surgery can sometimes be scheduled within 3 weeks.

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The following is from the Tubal Reversal Message Board:

Posted by nytesong (Member # 12015) on February 03, 2008 01:08 PM:

Here's my dilemma... my husband says that we can do this in april.... but we won't be able to pay for it until probably sometime in march....(in process right now of selling and buying a house, so we want to get that wrapped up first)
My question is this: how far in advance do you need to contact in order to schedule. i want to pay in full right away when i do schedule... and i really don't want to schedule and then have to wait like 6 months! I've already been waiting for 1.5 years to be able to have this done.

I'd love if anyone can share how the scheduling worked for them.

Thanks.

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Posted by sweeet_mommie (Member # 11471) on February 03, 2008 02:14 PM:

Hey, well if you look on the website to my understanding you can schedule right away but it has to be paid in full at least 3 weeks before your surgery and all your tests and paper work needs to be forwarded to Dr. Berger's office asap.
Hope I was helpful
Luquesua

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Posted by Julia Smith, RN (Member # 10) on February 03, 2008 03:49 PM:

Hi, Nytesong.
There are two options for scheduling/paying for tubal reversal surgery.
If you would like the discounted fee, you would send full payment of the $5900 the day after you call us to schedule the appointment. If you are paying the standard fee of $6900, you can schedule and hold an appointment by sending us $250 and the balance of $6650 would be sent three weeks prior to the surgery date.

The Spring months fill up faster than other months, so April may be nearly full if you wait until late in March to call. If you call the first part of April, Monday and Friday appointments may be full, be we should be able to get you scheduled if you have some flexibility regarding the day of the week.

Our goal is to help you schedule for a time that is convenient for you, so stay in touch over the next month and we will keep you updated on April appointments!

Julia Smith RN

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Posted by in-Gods-hands (Member # 11795) on February 04, 2008 12:12 PM:

I know how you are feeling. We wanted March and we will not have all our money till February 15th. The day we wanted only has one more opening. If we can not get it than we will have to wait till June or July when the kids are out for the summer. I wish you all the best on setting your date. Miranda

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Why Choose Dr. Berger

Chapel Hill Tubal Reversal Center is the only medical facility specifically for tubal ligation reversal surgery. We provide the most detailed information about tubal reversal available from any doctor, hospital, or medical institution. Let me explain how we are able to do this.

Electronic Patient Database

Keeping track of patients following surgery makes excellent sense from a clinical point of view. Continuing follow-up after surgery helps ensure the best care for each patient and allows us to evaluate the success of tubal reversal surgery and the care we provide. Setting up and maintaining a system to ensure ongoing follow-up is not usually found in a private medical practice since this is costly and time-consuming and requires staff knowledgeable in database management. Regardless of the cost and time requirement, Dr. Berger has made it a priority because of his commitment to giving patients all of the information they should have in order to make an informed decision about tubal reversal surgery.

At Chapel Hill Tubal Reversal Center, we have a computer system where every nurse enters patient information before, during, and after their surgery. In fact, all 11 of our nurses contact patients, record data and make daily entries into computerized records. With this follow-up information, we can analyze and report accurate statistical data about the long-term outcomes of tubal reversal procedures I have performed.

Information Sources

The patient follow-up system consists of information collected in many different ways and includes a minimum of 6 calls or e-mails to the patient in the first year following surgery.

1. Post-operative nurse visit the morning after surgery;
2. Telephone follow-up on the second postoperative day;
3. Telephone follow-up on the third postoperative day;
4. E-mail questionnaire at two weeks;
5. Telephone contact at 6 months;
6. Telephone contact at 12 months.

Other information is collected and recorded any time we communicate with patients post-operatively. These contacts are usually initiated by patients to report pregnancies and the outcomes of pregnancies. When patients report new pregnancies, we request that they complete a Pregnancy Report Form. Each week, we summarize the new pregnancy results in the Weekly Pregnancy Report Forum of the Tubal Reversal Message Board and also give more details in the Weekly Pregnancy Announcements.

In summary, after reading our information and statistics and comparing it to what might be available from other doctors, we believe patients will recognize that Chapel Hill Tubal Reversal Center is the only facility where accuracy of information is considered to be a priority and sharing it with prospective patients is considered to be a necessity. Providing facts rather than offering misleading or speculative statements about tubal reversal success is one mission of our practice. We believe this is the right thing to do.

I hope this information is helpful to you as you consider whether tubal reversal surgery is right for you.

Julia Smith RN 919-656-8204

Tubal Ligation Reversal How Long Before Pregnancy

This is topic How Long Before Pregnancy after TR? in forum After Tubal Reversal at Tubal Reversal Message Board.

Women who chose Dr. Gary Berger as their tubal reversal doctor discuss how quickly they became pregnant after tubal reversal surgery at Chapel Hill Tubal Reversal Center. Many of the patients that have already posted a response received their first positive pregnancy test within 3 months of their tubal reversal surgery.

One patient posted that within 34 months of her tubal reversal surgery with Dr. Berger she had already given birth to two tubal reversal babies and is currently 6 months pregnant with her third tubal reversal baby! This is very encouraging to patients still planning their tubal reversal.

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Posted by ChucksGirl (Member # 8875) on January 26, 2008 06:06 PM:

After tubal ligation reversal how long before pregnancy? I am interested to hear any and all reports about this.

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Posted by PaulnJenn (Member # 10984) on January 26, 2008 06:19 PM:

Hey Chucksgirl-
It really doesn't take long for some. I had my TR 11/19/07 and my first BFP on 12/30/07. Unfortunately, it ended on 01/14/08. BUT that was pretty quick for me and I am happy with knowing that it can happen.

I hope the more successful stories will chime in because there are quite a few!
GL!
Jenn

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Posted by Michelle39 (Member # 11154) on January 26, 2008 07:29 PM:

Hi Chucksgirl, I had my tr 3/12/07 & 1st bfp 6/13/07 ended on 6/29/07 e/p. 2nd bfp 8/25/07 ended mc. 2nd hsg on 1/08/08 showed right tube wide opened & on 1/25/08 I just tested w/fact plus & it's a BFP I'm thrilled & I'm going on monday to get my 1st hcg num.'s I just hope that they double & this one is a keeper!!! Did you get your tr yet? If you did when? Best of Luck and baby dust to all..Michelle

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Posted by motherof2 (Member # 8207) on January 26, 2008 07:31 PM:

It took me 1yr & 4 months.

ME-34
DH-37
DD-18
DD-16
BFP- 1/4/08
EDD- 9/11/08

TR- 8/22/06
R- 7.0
L- 7.5

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Posted by berta8133 (Member # 11188) on January 26, 2008 07:37 PM:

TR 7/23/07
3cm each side

BFP 9/12/07 (first cycle)
E/P 9/25/07

BFP 11/30/07
M/C 12/8/07

Currently TTC, hoping 3x a charm!!

Berta: 38

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Posted by USMCMP Wife (Member # 9691) on January 26, 2008 07:56 PM:

Well the 1st time I got my 1st BFP was 2 months after my TR which was on May 2, 2006. I of course mc but then 2 months after that I got a BFP again w/twins and well we lost one of the twins in the beginning of the pg it observobed but on June 1, 2007 we had a healthy happy boy RJ who is now 7 months old and almost 24lbs. Also I am 41 years old I had him 2 days before my 41st bday.

Hugs,
Heidi & RJ

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Posted by rkandlm (Member # 6776) on January 26, 2008 09:06 PM:

HI!

This is about me

Me 32
DH 42
DD 14
DS 11
DD 8
DS 2 (1st TR baby)
EDD 3-30-08 w/ TR baby #2

TL 9-99
TR 11-04
I got PG with 1st TR baby 1.5 months after TR.
I got PG with 2nd TR and we had only BD 1 time that month! (really busy month! HAHA)

That's our story!
[Love] Lisa
EDD 3-30-08 with
TR baby #2....It's a girl!

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Posted by momto10 (Member # 11808) on January 26, 2008 09:13 PM:

Lisa, I love your story. It gives me hope. I just had my TR on the 17th and I am afraid to BD all this week. I am due to O on Tuesday. I'm afraid that it would raise the chances of tubal pregnancy, if my tubes were still swollen..

Gwen

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Posted by khadija (Member # 7447) on January 26, 2008 09:57 PM:

It is different for many people. As for me it did not take long. I had my TR march 31 05 and TR#1 was born the same year in Dec. We got PG again right away with Tr #2 and he was born 13 months after the 1st one. I am now Pg with TR # 3 and she is due in May so if you add it up I had my TR 34 months ago and I have 2 babies and 6 months PG with # 3, so it does work. Wishing you the best. Feel free to ask me any questions.
Khadija

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Posted by Theboysmomma (Member # 11342) on January 26, 2008 11:44 PM:

I had my TR done 11/21/07 and got pregnant the first time DH and i were together after surgery. Needless to say, we weren't quite trying yet, it just happened. That pregnancy ended 12/31/07 in emergency surgery as an ovarian ectopic. We are currently trying again.

Katie-27
DD-10
DS-9
DS-7
DS-5

TL- 3/1/02
TR- 11/21/07
OVARIAN E\P- 12/31/07

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Posted by momto10 (Member # 11808) on January 27, 2008 09:10 AM:

khadija, Thanks for sharing. Congratualtions! I love how many TR babies you have. I hope mine goes as well. I will be waiting to conceive until next month.

Does anyone have a count on the most births to one woman following a TR?

Gwen

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Posted by mama12 (Member # 11260) on January 27, 2008 09:39 AM:

TR 10-15-07
MC 11-20-07
EP 12-14-07 lost right tube.
We will be trying again after another complete cycle. So in March.
Dr. said after all the trauma of MC and EP I need to wait. My body seriously needs a good long break. He said if I got preg in that next month after the tube removal, it would be a guarantee it wouldn't go well. Anesthesia, pain meds it was all yucky stuff in my system, my organs being messed with repeatedly....
As you can see I was pregnant 2 weeks after TR.
IF I had to do it all again I would wait at very least a full complete 30 days to TTC and NOT after my 1st period. My first AF was 1 week after TR.
I would wait just to make sure the healing had been complete. The surgery is rough on the body. I still think if I would've waited things would've turned out better. I was kind of shocked to be BFP so fast. I was still weak and healing. It just wasn't good for me at all. Basically we cut the stitches and BAM I was BFP.

My personal recommendation is to wait until you feel 100% healed, not good enough or kind of healed... Gwen the tube swelling is a concern I had too.
A full month, not your first AF or even 2 can make a world of difference I think. By 2 months you should be perfect. It's just my opinion, we've been through hell so far TTC. I don't want to repeat it. For me waiting is best.

I hate waiting, but I want to be sure everything is PERFECT in there!!

I think Miss Khadija is the most I've heard of with 3!!! You go girl!!! [Smile]
I can't wait to be BFP again. Sigh... our wait time is going fast so it's ok. [Smile]
1 month down, Feb to go. Then try in March!
Everybody is different, I guess it's go with how you feel and how your body reacts to surgeries and trauma like that during your whole life.
My body likes to take it's sweet time so I'm listening to it.

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Posted by Terra (Member # 7122) on January 27, 2008 10:20 AM:

Hi!

This is about me

Me 36
DH 37
DS 13
DS 12
DS 5
TR 1/7/05
DD TR baby 2(today!)

We are all done now. DH has had a vasectomy. We decided 4 C-sections was enough. Best of luck in your journey!

Terra

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Posted by debjim (Member # 8607) on January 27, 2008 10:42 AM:

I had my TR on 3/1/06 Last Af was in 7/06 and I got my BFP in Aug/06. My daughter is 9 months old.

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Posted by nursejones72 (Member # 11878) on January 27, 2008 12:38 PM:

Khadija,
My name is Tessa and I was reading your post. You conceived twice without any complications and I think that is wonderful and I hope that is how it works for me. What are your tube lengths? I just had my TR on the 24th, do you think it is too soon to BD? My AF ended yesterday, so in about 6 days I will be ovulating. I am a little unsure if I should wait till after another AF or not. My DH says whatever I want to do, he is ready whenever I am ready. What do you suggest? I understand that the pregnancy outcomes are different for each. Thanks

Tessa

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Posted by Gary S Berger MD (Member # 3) on January 27, 2008 01:40 PM:

First pregnancies after tubal reversal have occurred within weeks up to as long as 4 years. I believe that the most children reported to us so far after tubal reversal is four, but there are many women who have had two or three children since their reversals. In my next analysis of the Tubal Reversal Pregnancy Study for 2008, I will take a closer look at this and include information in the report in answer to the question about "tubal ligation reversal how long before pregnancy".

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Posted by Annjeana (Member # 10632) on January 27, 2008 01:52 PM:

Well it only took me about 6 weeks [Smile] I never even had a period after my TR. I was on AF durning TR and I have very long cycles So to my surprise on CD 68 and 8 DPO I got my BFP and now have a sweet little girl that is 5 weeks old.. I could not beleive that I got PG on my first cycle, it has not even been a year sense my TR and I already have a baby [Smile] Dr. Berger is AWESOME!
Angel

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Posted by Gary S Berger MD (Member # 3) on January 27, 2008 03:07 PM:

The question that stimulated this message board discussion was an excellent one. The information about how long it takes to become pregnant after tubal reversal and how many babies patients have had after the reversal can be found by following the links to Pregnancy and Birth Testimonials and the New Pregnancies reports. There are thousands of individual pages of these, and it would take an enormous effort to go through all of these pages on our website. That is why I do a yearly statistical analysis of our patient database and prepare a Tubal Reversal Study Pregnancy Report.

Outpatient Tubal Reversal Procedure

Is Tubal Reversal Surgery Safer in a Hospital?

In a recent email inquiry, someone asked if it would be safer to have tubal reversal surgery in a hospital. My answer to her: "It is much safer to have tubal reversal surgery performed at Chapel Hill Tubal Reversal Center than in a hospital." Roughly 100,000 people wind up with a potentially deadly infection during hospital treatment in the US each year, according to the Centers for Disease Control. Most of these dangerous bacteria are transmitted by hospital staff from sick patients.

When it comes to cleanliness and strict adherence to infection control procedures, there is no medical or surgical facility better than Chapel Hill Tubal Reversal Center. Hospitals are the right place for treating complicated medical or surgical problems, but they are not the best place for healthy people to have tubal reversal surgery!

Infection and Medication Error Risks in Hospitals

Roughly 100,000 people wind up with a potentially deadly infection during hospital treatment in the US each year, according to the Centers for Disease Control. Hospital-acquired infections (also called “nosocomial” infections) are particularly dangerous, since hospital germs are especially resistant to antibiotics. One example in the news lately the bacteria called methicillin-resistant staphylococcus aureus (MRSA). Most of these dangerous bacteria are transmitted by hospital staff from sick patients.

Hospital patients get the wrong drug one time out of five, according to a study by Auburn University.

Patient-safety incidents continue to rise in American hospitals. The largest increases involve hospital-acquired infections and post operative sepsis (overwhelming infection).

A Chicago Tribune study revealed that serious violations of infection-control standards have been found in the vast majority of hospitals nationally. Since 1995, more than 75 percent of all hospitals have been cited for significant cleanliness and sanitation violations. This report says:

A hidden epidemic of life-threatening infections is contaminating America’s hospitals, needlessly killing tens of thousands of patients each year. Nearly three-quarters of the deadly infections are preventable, the result of unsanitary facilities, germ-laden instruments, unwashed hands and other lapses.

Deaths linked to hospital germs represent the fourth leading cause of mortality among Americans, behind heart disease, cancer and strokes, according to the federal Centers for Disease Control and Prevention. These infections kill more people each year than car accidents, fires and drowning combined.

“The number of people needlessly killed by hospital infections is unbelievable, but the public doesn’t know anything about it,” said Dr. Barry Farr, a leading infection-control expert and president of the Society for Healthcare Epidemiology of America.

Dr. Berger’s Comment

When it comes to cleanliness and strict adherence to infection control procedures, there is no medical or surgical facility better than Chapel Hill Tubal Reversal Center. Our patients often comment about the meticulous nature of our facility. It is clean, orderly, and uncluttered. We are obsessive about this.

The idea that it may be safer to have elective surgery in a hospital is wrong. Hospitals are the right place for treating complicated medical or surgical problems, but they are not the best place for healthy people to have tubal reversal surgery!