Female sterilization using tubal coagulation
Pellicer, A.; Serra, V.
Advances in Contraceptive Delivery Systems Cds 4(4): 349-367
1988
ISSN/ISBN: 1012-8689 PMID: 12342246 Document Number: 359933
3 different techniques have been described for laparoscopic sterilization using using tubal coagulation. Our experience using all 3 different techniques with a 3-year follow-up is evaluated. Unipolar electrocoagulation (UPE) was used in only 17 cases and subsequently replaced. 1 ectopic pregnancy was encountered (5.88%). There was no pregnancy when bipolar electrocautery (BPE) was applied to 94 women. Endothermic coagulation (EC) was used in 166 patients. 9 pregnancies (5.42%) were noted. An analysis of the possible causes of such high pregnancy rate did not answer our questions. 200 patients were followed by hysterosalpingography (HSG) after tubal coagulation. 4 if them (2%) showed radiologic signs of tubal patency. 1/2 of the clinical pregnancies had a negative HSG performed. BPE is the method of choice for tubal coagulation. EC has a high failure rate. UPE should be abandoned. HSG is not a reliable method for control after sterilization.