These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: The reversibility of male and female sterilisation.
    Author: Diggory P.
    Journal: Fertil Contracept; 1978 Apr; 2(2):18-22. PubMed ID: 12336092.
    Abstract:
    The relative feasibility for reversal of various forms of male and female sterilization is discussed. For men, the operation of vasectomy seems a simple and safe procedure which offers about a 50% chance of reversal if a suitable technique is used; it is far safer and much more likely to be reversed than any female method. In addition to the totally irreversible techniques applied to women for sterilization (hysterectomy, ovarian irradiation, and uterine blockages), some forms of tubal sterilization provide some chance of reversal. About 100 different methods of tubal sterilization have been described. Where the tube has been divided at the cornual end and left in situ, reversal by ordinary (not microsurgical) techniques is rarely successful. However, a success rate of 17% has been reported, in selected cases, when microsurgical techniques were used for repair of laparoscopic tubal electrocoagulation. The Madlener, Pomeroy, Cooke, Irving, and Uchida methods of sterilization have decreasing failure rates, respectively, and increasing possibility for reversibility, respectively. For all of these tubal ligation techniques, the amount of tube destroyed is the salient indication for reversibility. The Uchida method is considered here the best method of sterilization at laparotomy. It is noted that whenever tubal repair is attempted, ectopic pregnancy occurs in about 15-20% of those patients who subsequently become pregnant. In addition, 15% end as abortions, and 65-70% result in full-term pregnancies. The results of a current National Survey of laparoscopic complications will soon be published. If electrocoagulation is shown to be a significant hazard to bowel or other organs, then the current trend toward using laparoscopically applied clips or salistic bands will be accelerat d and these techniques will replace coagulation, a trend which is sure to improve future reversibility.
    [Abstract] [Full Text] [Related] [New Search]