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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...

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Related Experiment Video

Updated: Jun 14, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Transcervical sterilization.

Paula M Castaño¹, Lola Adekunle

¹Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York 10032, USA. pc2137@columbia.edu

Seminars in Reproductive Medicine

|March 31, 2010

Summary

This summary is machine-generated.

Transcervical sterilization offers a minimally invasive, incision-free permanent contraception method. This hysteroscopic sterilization is effective, cost-effective, and requires less anesthesia and recovery time compared to traditional surgery.

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Area of Science:

Gynecology
Reproductive Health
Minimally Invasive Surgery

Background:

Sterilization is a common choice for permanent contraception.
Traditional surgical sterilization involves anesthesia, operating rooms, recovery time, and scarring.
Minimally invasive alternatives offer potential advantages.

Purpose of the Study:

To evaluate transcervical hysteroscopic sterilization as an alternative to traditional surgical sterilization.
To compare the outcomes and benefits of transcervical sterilization with laparoscopic surgery.

Main Methods:

Hysteroscopic sterilization using devices like Essure and Adiana.
Induction of fibrosis and tubal occlusion over a 3-month period.
Confirmation of successful placement and tubal occlusion via hysterosalpingogram at 3 months.

Main Results:

Transcervical hysteroscopic sterilization is incision-free and minimally invasive.
It requires less anesthesia, shorter recovery, and is more cost-effective than laparoscopic surgery.
Effectiveness is comparable to other sterilization methods, with high patient satisfaction.

Conclusions:

Transcervical hysteroscopic sterilization is a safe and effective permanent contraception method.
It presents significant advantages over traditional surgical sterilization in terms of invasiveness, recovery, and cost.
Women require alternative contraception for the initial 3 months post-procedure.