Efficacy of Tubal Surgery for Permanent Contraception: Considerations for the Clinician

Abstract

Permanent contraception meets the needs of many people certain in their decision to never become pregnant in the future. Female permanent contraception procedures became more common than male procedures during the 1970s and 1980s, when laparoscopic surgery became widely available. To better understand the efficacy of these new procedures, the US Centers for Disease Control and Prevention conducted a prospective cohort study, known as the Collaborative Review of Sterilization (CREST). For decades, results of this study have defined perioperative counseling around failure risks of such surgeries. However, laparoscopic technology and techniques have changed significantly in recent decades and evidence has emerged supporting noncontraceptive benefits of tubal excision. Therefore, we present here a review of updated information regarding permanent contraception failure in the modern context and implications for clinical practice and future research directions.

Legal medicine aspects of female sterilization: our experience

“…In conclusion, tubal sterilization can be performed with different techniques which can be modified, also in light of the various situations involved, with the goal of reducing the risk of failure as much as possible (31)(32)(33). as indicated above, this procedure to exclude a pregnancy may, albeit not frequently, fail independently of the technique adopted.…”