Which Surgical Sterilization Method Is Most Effective?

Surgical Sterilization Method

 What is surgical sterilization?
Sterilization is a medical technique that makes a person incapable of reproducing. Surgery can close or block the fallopian tube in females which prevents fertilization. In males, a surgical procedure such as vasectomy can block the tubes that carry sperms. Some of the common surgical sterilization methods include tubal ligation in females through laparoscopy technique, vasoligation in males, hysterectomy in females and castration in males. Two most common types of surgical procedures are laparoscopic and hysteroscopic surgeries.

Laparoscopic surgery
It is a surgical diagnostic procedure used to examine organs inside the abdomen. Laparoscopy enables surgeons to complete tubal ligation which involves severing and tying the fallopian tubes. In Laparoscopy, an instrument called a laparoscope is inserted through a small incision made near the navel. Another small incision may be made for an instrument to close off or remove fallopian tube. The fallopian tube may be cut or closed by using a specialized thread. It can also be sealed by using an electric current.

Advantage
Recovery is usually quick with fewer complications. It is usually performed as an outpatient procedure.

Disadvantage
The most common complication may be due to general anesthesia. There is also a risk of injury to blood vessels, bowel, and bladder. Other risks may be due to bleeding from the incision.

Hysteroscopic surgery
It is a minimally invasive outpatient procedure that offers effective contraception. A hysteroscope is inserted after widening the cervix. The hysteroscope is inserted through the vagina and cervix and finally into the uterus. Carbon dioxide gas is filled into the uterus to clear away any blood or mucus. The surgeon can view the uterus lining and openings of the fallopian tubes by looking through the hysteroscope. If a biopsy or other procedures are needed, small instruments will be passed through the hysteroscope. The doctor may perform a hysteroscopy to correct conditions such as polyps and fibroids, adhesions (bands of scar tissues that are formed in the uterus), septums and abnormal bleedings.

How safe is hysteroscopy? Many patients have this question. This can only be understood by understanding the risks and benefits of both laparoscopic and hysteroscopic surgeries.
How safe is hysteroscopy? Let’s see both the advantages and disadvantages below:

Advantage
The advantages of hysteroscopy are that it involves shorter duration of hospital stay and the recovery time is faster. Fewer pain management medications are prescribed.

Disadvantages
Risks may be due to anesthesia. A possible complication may also arise due to infection. Injury to cervix, uterus, bowel or bladder may also occur.  


Proper counseling is conducted by the doctor for making the right decision. It is also important to collect various information regarding side effects and efficiency of laparoscopic and hysteroscopic surgeries from various other sources. If further questions arise regarding how safe is hysterectomy? A doctor at NU fertility can advise you on the effectiveness of surgical procedure based on different criteria. 


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