What is a Bilateral Tubal Ligation?
A Bilateral Tubal Ligation (BTL) is a surgical procedure that involves blocking the fallopian tubes to prevent the ovum (egg) from being fertilized. It can be done by cutting, burning or removing sections of the fallopian tubes or by placing clips on each tube.
When is it used?
A BTL is used when a woman wants to prevent pregnancy. It is considered a permanent form of birth control, although in some cases it can be reversed. There can be damage to the tubes after reversal, so this decision should not be made quickly.
How do I prepare for a BTL?
You will have this procedure in the outpatient surgery center or in the main hospital if you have just delivered a baby. You will not be able to eat or drink anything after midnight the day before your surgery. This procedure is done laparoscopically or immediately following a cesarean section. If you are taking any medications, you should discuss these with your doctor to see when you should stop them.
What happens during the procedure?
You will be given general anesthesia which will put you to sleep. One incision will be made in the umbilicus (belly button) and three small incisions will be made in the lower abdomen. Gas is pumped into the abdomen in order to help Dr. Hardy see the uterus, ovaries and fallopian tubes. A laparoscope is a telescopic instrument that is used to locate the fallopian tubes. Once the tubes are exposed, a small section of each tube is cut free and removed. The severed ends are ligated “burned” with a cautery tool or clips may be placed on each tube. The skin is closed with sutures that will dissolve and steristrips on the outside that may be removed after 1 week.
What happens after the procedure?
You will be moved to the recovery room while the anesthesia is wearing off. Your pain will be controlled with pain medications and any side effects will be addressed. You will be able to go home that day if you were scheduled for an outpatient surgery. If you have this procedure done after delivery, you will be discharged according to your postpartum care.
You may experience pain that radiates to your shoulder. This is caused from the gas that was used during the procedure. You may use an electric heating pad, drink warm beverages and walk to help alleviate this pain. You may bathe and shower as usual. You may wash the incision gently with mild unscented soap.
You will be given prescription pain medication to use for 2 to 7 days after the procedure. A stool softener may also help alleviate or prevent constipation. You will be given 2 weeks to recover from the procedure. Avoid sex or exercising until your postoperative appointment. You may resume driving after you are not taking any narcotic pain medication
What are the benefits of this procedure?
You do not have the risks associated with hormones for birth control.
You have a more permanent form of birth control.
What are the risks associated with this procedure?
Some of the risks associated with a BTL are:
There are people who have a higher risk of complications which are:
When should I call the office?
Call the office right away if:
If you have any questions or concerns, or would like to schedule an appointment, please contact either our Virginia Beach or Chesapeake office today.
3720 Holland Road
Virginia Beach, Virginia 23452
Ph. (757) 463-1234
Fx. (757) 463-0453
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680-C Kingsborough Square
Chesapeake, Virginia 23320
Ph. (757) 548-0044
Fx. (757) 547-0179
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