Special Discount on Tubal Reversals from 8/1/08 - 12/31/08
**This is an Internet Discount only. You must print this page and bring it to your appointment in order to receive the discount.**
(Surgery must take place before 12/31/08 in order for discount to apply) 

Cost
$4,900.00 - Now reduced to $4,500.00 until 12/31/08
Surgeon, Facility, Anesthesia, Postoperative

$100-$250 - Initial Consultation 

$100 - Semen analysis
$200 - Optional pain pump

Definition: Microsurgical repair/reversal of a tubal sterilization
Overall Success Rate: Can be up to 75% for the first year. The success rate drops to 30% if the woman is 40 or older.

Pregnancy rates will correlate with the final length of the tube after anastomosis.

**If you do not become pregnant after one year following your tubal reversal procedure at NCCRM, we will give you a $2000.00 discount toward In Vitro Fertilization (IVF) at NCCRM.

Sterilization causing minimal damage to the tube is most likely to be successfully reversed.
Most preferred:

• Spring clips
• Ring
• Cauterization by laparoscopy
• Postpartum Pomeroy sterilization by minilaparotomy

Patient needs to bring all past records, especially pathology reports and operative note from sterilization.

Tubal Anastomosis length of Surgery: 1 1/2 hours
Anesthesia: General
Risks: Minimal
Hospital Stay: Outpatient
Postop pain management: Oral medication
Pain pump-optional: $200.00
Doctor:  Sameh K. Toma, M.D. and Gerald Mulvaney, M.D. 

Note: In some cases tubal anastomosis must be performed in the hospital. The fee will be quoted. A breakdown of the charges is available on request.

Check List
Consult Appointment
Past Records, Operative Reports, Pathology Reports from your sterilization
Semen Analysis