ABSTRACT
Background:To study the fertility outcome after tubal recanalisation done for sterilisation reversal and various factors affecting successful recanalisation. Methods: It is a perspective study of 30 cases who undergone tubal recanalisation for reversal of sterilisation in SCB Medical and hospital, Cuttack from October 2015-october 2017. Result: Loss of child was the commonest reason for seeking reversal of sterilisation. Out of 30 patients, the conception rate was 19(63.3%), 18 were intrauterine, one was ectopic, 15 live birth, 1 aborted and 2 are ongoing pregnancies. The conception rate was high when the age of the patient was less than thirty years (78.8%), interval between sterilisation and its reversal was less than 4 years (83.3%), when it was following laparoscopic sterilisation (68.4%), when the site of anastomosis was isthmo-isthmic (63.1%) and when the remaining tubal length was more than 6 cm (83.3%). Conclusion: Recanalization procedure being simple and effective method in respect to IVF is increasing in demand for sterilisation reversal. Successful fertility outcome after tubal recanalisation depends on age of the patient.type of previous sterilisation,site of sterilisation and anastomosis and final length after tubal recalisation. During sterilisation gynaecologist should remember laproscopic sterisation is preferred and site of occlusion is isthmus so that every sterilised women can undergo recanalization operation if circumstances arises later in life.