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    Reversal of tubal ligation in AID-funded population programs.

    Labbok MH; Wiley AT

    In: Phillips JM, ed. Microsurgery in gynecology, 2. Downey, California, American Association of Gynecologic Laparoscopists, 1981. 224-6.

    AID's Office of Population has been providing voluntary sterilization through its programs in developing countries since 1965. The demand has grown over the years. However, there is also a growing demand for both female and male reversal procedures. Usually the reasons for a reversal request are divorce and remarriage or the death of a child. To meet this increased demand, the Office of Population is sponsoring a program of research, training, and service. A 1977 workshop on reversal of sterilization, sponsored by the AID-funded Program for Applied Research on Fertility Regulation, presented the results of ongoing research. Microsurgery was highlighted as the main tool for sterilization reversal programs. A training program in microsurgery reversal techniques is in operation at Johns Hopkins University. This program is training participants from developing countries and now has 12 trained individuals with the necessary skills and equipment to establish a national reversal center. Other researchers are investigating the possibility of using uterotubal-juncture blocking devices or removable, modified Hulka clips for sterilization to facilitate a potential reversal procedure. Since the number of sterilization procedures performed far outweighs that of reversals, ease and safety of the sterilization must be the main priority. Therefore, such experimental methods are of secondary interest. While sterilization at this time must be considered permanent, microsurgery techniques have achieved reversal success rates as high as 83% in females and 95% in males.
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