Permanent sterilization can be done laparoscopically thru small incision(s) on the abdomen with destruction of part of the tube to permanently block them, or through the cervix by placing implants into the tubes to block them. Both ways allow the surgeon to block the fallopian tube so the sperm cannot get to the egg released by the ovary. The three procedures available are:
- Laparoscopic tubal ligation
- Essure Tubal Occlusion
- AdianaTubal Occlusion
Both Essure and Adiana take three months to take effect. A hystersalpingogram (HSG) is recommended 3 months after the procedure to insure complete occlusion and sterility.
About Laparoscopic Tubal Ligation
A laparoscopic tubal ligation is an outpatient procedure done under anesthesia to achieve permanent sterilization. The physician places a small (1 cm) incision at the base of the umbilicus and then places a scope thru this incision to view the pelvic structures. The tubes are identified and about one third of the each fallopian tube is destroyed using cautery. This procedure takes about 30 minutes to perform and patients go home the same day. We usually recommend about one week off work after this procedure. The sterilization effect is immediate and no additional testing is recommended to confirm the tubes are blocked. The failure rate is 1 in 250 over a lifetime.
The Essure procedure is a non-incisional surgical procedure that involves placing a small, flexible device called a micro-insert into each of your fallopian tubes (the tubes your eggs travel through from your ovaries to your uterus). The micro-inserts are made from polyester fibers and metals (nickel-titanium and stainless steel). These materials have been studied and used in the heart and other parts of the human body for many years. Once the micro-inserts are in place, over a three-month period your body tissue grows into the micro-inserts, blocking the fallopian tubes. Blocking the tubes is intended to prevent sperm from reaching and fertilizing the egg, thereby preventing pregnancy.
Before the device can be used for contraception, you must have a follow-up test called a hysterosalpingogram (HSG) to make sure your tubes are blocked and the micro-inserts are in satisfactory locations. Your doctor will be able to explain the procedure to you in more detail.
Adiana Permanent Contraception is a safe, simple, minimally invasive procedure that permanently prevents pregnancy. After placing a small catheter thru the cervix and into the uterus, tiny implants are placed in the fallopian tubes without the need for incisions. Your body's own tissue grows in and around these tiny, soft inserts over a three month period of time. This procedure can be completed in the office without the need for anesthesia, and the entire procedure typically takes less than 15 minutes. Most women in the clinical trial reported little or no pain, and returned to their regular activities within a day. A dye test, called a hysterosalpingogram, is done three months post procedure to prove the tubes are blocked. Once your tubes are completely blocked, Adiana Permanent Contraception is comparable to tubal ligation, or "having your tubes tied", in preventing pregnancy.