Both the Essure and Adiana Occlusions are similar and require the same procedure to reverse them. The Essure device has only been available in the last decade, but we are now starting to see a higher number of requests to have this type of tubal occlusion reversed. We have successful pregnancies resulting from Essure and Adiana and we can help you too.
The Essure and Adiana devices are supposed to be permanent and not reversal, similar to traditional tubal ligation, but at the North Carolina Center for Reproductive Medicine (NCCRM), we have the expertise in advanced micro-surgery to perform this procedure.
The procedure to reverse an Essure or Adiana is different than a standard tubal reversal. What is required is called a tubocornual implantation. The old way to do a tubocornual implantation was very hard to do and left the patient requiring a cesarean section for future pregnancies. With the way we perform this procedure at our facility this is no longer the case.
To do this type of reversal, the Essure or Adiana device needs to be first carefully removed. The next step is to make a tiny, perfectly round hole in the wall of the uterus. Once the uterus is prepared, the tube is sewn deep into the lining of the womb. The tube is next sewn to the outside of the uterus to seal it off.
If you are experiencing negative side effects from your Essure and want to have it removed, not reversed, please read more here.
Please call our office and speak with one of our clinical staff to answer any questions you may have.
Surgery Process:
Adiana Reversal Surgery is similar to a tubal ligation reversal procedure requiring skilled surgeons. In this situation, a new opening can be created through the uterine muscle and the remaining tubal segment inserted into the uterine cavity. This microsurgical procedure is called tubouterine implantation, uterotubal implantation, or, simply, tubal implantation. Tubal implantation is performed when tubal anastomosis is not possible due to the absence of a proximal tubal segment and interstitial tubal lumen.
Click here for discharge instructions after Adiana, Essure and Tubal reversal surgery.
Dr. Sameh Toma founded NCCRM in the 1990’s and was one of the first private fertility centers in North Carolina. Other UNC fertility doctors joined Dr. Toma and NCCRM in providing Tubal Reversal, IVF, and other fertility services in a more efficient and affordable private setting.
Dr Toma is the medical director and does the majority of our surgeries. He is one of the most experienced fertility doctors in the world, specializing in Tubal Reversal Surgery and In Vitro Fertilization. Dr. Toma was trained in microsurgical tubal reversal surgery while at UNC by Dr. Hulka, a pioneer in tubal reversal surgery who developed the Hulka clip as a method of tubal ligation resulting in minimal destruction to the tubes.
At NCCRM we are proud to offer IVF and Tubal Reversal to our patients, individualizing the treatment to the appropriate patient. Patients with an ample amount of tube may do best with tubal reversal while those with minimal tubal length may do best with IVF. IVF is also best when there is a male factor. That is why we recommend a semen analysis prior to a tubal reversal.
NCCRM provides the best success at one of the best prices in the industry by providing high quality service in a most efficient process. An example is how we do liposuction to decrease the abdominal thickness in patients with a higher BMI. This allows better access to the tubes. The result is a better-quality anastomosis that results in a higher chance of a successful pregnancy. NCCRM is the only fertility practice with liposuction capability and it still less expensive than most infertility clinics charge for a tubal reversal alone. This is one of the advantages that helps make our success rates the highest on the East Coast.
NCCRM was first in the world to do both Essure and Adiana reversals. Our years of experience has allowed us to continuously yield the highest success rates in the world for these procedures. Please follow us on Facebook to see all the success stories from our wonderful patients and we look forward to adding your story as you become a part of the NCCRM family.
Fee for Essure and Adiana surgery: $7,300+
After discount($8,400 – $1,100)
To learn more or schedule a consultation:
Call (919) 233-1680 or
