Although the Adiana permanent birth control system was only approved by the FDA in July 2009, already some women are reconsidering their choice to use it. What they are actually reconsidering is having their tubes blocked in any manner which is how pregnancy is prevented with tubal ligation. This change of heart has led one woman to getting a reversal via tubal surgery. It is the first Adiana reversal.
Although having your tubes tied may seem like a good idea given your situation at the time, many women do change their minds. Usually this is due to a change in circumstances such as a change in marital relationship or even the death of a child. For the woman who had the first Adiana reversal done in February 2009, it was just such a change in circumstance that precipitated the desire for the tubal surgery by the Chapel Hill Tubal Reversal Center.
This tubal surgery is a special kind called tubouterine implantation. Due to the way the Adiana system is implanted, not only are the fallopian tubes involved in the blockage, the uterus is as well. Although this system is touted as a non-surgical alternative to traditional tubal ligation, much the same way the Essure device is, it does have its draw backs when a decision is made to reverse it.
Because of the way the device works and the fact that a portion of the uterus is involved as well, reversal surgery requires some removal of the uterus and the fallopian tubes where they meet the uterus. This area of the uterus is then sutured closed and a new opening is created into the uterus for the remaining portion of the fallopian tubes. The good news is that since the blockage in the tubes is nearest the uterus, usually more of the tubes remain. Tubal length is one of the factors in reversal success.
This first Adiana reversal was conducted by Dr. Gary Berger and Dr. Charles Monteith of the Chapel Hill Tubal Reversal Center. Known throughout the world for their specialized work in tubal ligation reversal, these surgeons now add reversing the Adiana system to their long list of tubal surgery specialties which also include reversing the Essure device.