title: Female sterilization using tubal coagulation.
abstract: 3 different techniques have been described for laparoscopic sterilization using using tubal coagulation.  Our experience using all 3 different techniques with a 3-year follow-up is evaluated.  Unipolar electrocoagulation (UPE) was used in only 17 cases and subsequently replaced.  1 ectopic pregnancy was encountered (5.88%).  There was no pregnancy when bipolar electrocautery (BPE) was applied to 94 women.  Endothermic coagulation (EC) was used in 166 patients.  9 pregnancies (5.42%) were noted.  An analysis of the possible causes of such high pregnancy rate did not answer our questions.  200 patients were followed by hysterosalpingography (HSG) after tubal coagulation.  4 if them (2%) showed radiologic signs of tubal patency.  1/2 of the clinical pregnancies had a negative HSG performed.  BPE is the method of choice for tubal coagulation.  EC has a high failure rate.  UPE should be abandoned.  HSG is not a reliable method for control after sterilization.
mesh_terms: D001695:Biology; D001723:Birth Rate; D003267:Contraception; D003268:Contraception Behavior; D003710:Demography; D003933:Diagnosis; D004564:Electrocoagulation; D004724:Endoscopy; D004864:Equipment and Supplies; D005069:Evaluation Studies as Topic; D005187:Fallopian Tubes; D005193:Family Planning Services; D005298:Fertility; D013502:General Surgery; D005835:Genitalia; D005836:Genitalia, Female; D010535:Laparoscopy; D010808:Physical Examination; D010827:Physiology; D011153:Population; D011157:Population Dynamics; D018873:Pregnancy Rate; D012106:Research; D012107:Research Design; D013245:Sterilization, Reproductive; D013523:Surgical Equipment; D013812:Therapeutics; D014566:Urogenital System
keywords: Biology; Birth Rate; Contraception; Contraception Failure--statistics; Contraceptive Usage; Demographic Factors; Electrocoagulation; Endoscopy; Equipment And Supplies; Evaluation; Examinations And Diagnoses; Fallopian Tubes; Family Planning; Female Sterilization; Fertility; Fertility Measurements; Fertility Rate; Genitalia; Genitalia, Female; Laparoscopy; Measurement; Physical Examinations And Diagnoses; Physiology; Population; Population Dynamics; Pregnancy Rate; Research Methodology; Sterilization, Sexual; Surgery; Surgical Equipment; Treatment; Tubal Effects; Urogenital System