Courses
Emergency Contraception & Sterilisation
Sterilisation
Vasectomy
- Interrupting the vas deferens with an intention to provide permanent contraception.
- Done under local anaesthesia
- Outpatient setting
- Minimally invasive vasectomy or no scalpel vasectomy
- Small incision made on the skin, vas deferens isolated and cauterized and divided with diathermy
- Need additional contraception until semen analysis shows no more sperm – usually after 12 weeks
- Failure rate is 1:2000
- Small incidence of chronic pain
Tubal ligation/Occlusion
- Can be done via laparotomy or laparoscopy
- Usually done under GA
- For laparoscopy – using Fallope ring or Filshie clip
- Laparotomy – mini laparotomy or during caesarean section
- Pomeroy or Parkland method
- Risks are the ones associated with surgery – bowel/bladder/blood vessel injury 1:2000
- Risk of death 1:12000
- Failure rate 1:200
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