Dr. Muthus Multishospital


Gynaecology (Tubectomy)


The tubectomy procedure, also called tubal sterilisation, is a permanent method of contraception for women. It involves surgically blocking the fallopian tubes so that the egg the ovary releases cannot reach the uterus. Approximately 10 cm long tubes are attached to either side of the uterus. As part of the procedure, the tubes are sliced open, tied, or clipped at a particular point. It is a permanent method of birth control and sterilisation. A woman who wishes to avoid pregnancy or consecutive childbirth is likely to pursue this treatment.

Tubectomy is a major surgical procedure that’s irreversible and not without risks. Dr.Muthus Hospitals are one of the most trusted gynaecology hospitals offering advanced surgical procedures under experienced doctors.  The department is staffed round the clock by experienced Obstetricians and can provide high dependency obstetric care in the event of an emergency.

We have well-equipped labour wards with intrapartum monitors, fetal care, and operational facilities within minutes of making a decision. In addition to obstetricians, the team is supported by cardiologists, haematologists, neonatologists, and intensive care specialists all under one roof.

In addition to oncosurgeons, we have colonoscopists who treat gynaecological cancers. We have specialists in laparoscopy, both diagnostic and operative, sonologists, neonatologists, neonatal surgeons, and geneticists who conduct specialised work in the field of foetal medicine.

Tubectomy indications

The tubectomy procedure is indicated for women who don’t want to become pregnant in the future and request this permanent method.

The following factors should be considered by a woman who is considering permanent sterilization through tubectomy:

  • The reasons for choosing permanent sterilisation.
  • A tubal ligation might be the best option.
  • Risks, complications, and side effects of the procedure.
Gynaecology (Tubectomy)
  • Alternative contraceptive methods if necessary.
  • Technique

Tuberculosis is a major surgery in which the fallopian tubes are cut open and clipped or tied up to prevent the passage of the egg into the uterus.

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A few small cuts are made around the belly button. During the procedure, a laparoscope is inserted through one of the cuts. In the laparoscope tip, there is an image-transmitting camera that transmits the images to a screen, allowing visibility of the internal organs to the surgeon. As the surgeon inserts the special instruments through the tiny cuts, he is guided by the images and seals the tubes by cutting parts of them or by blocking them using clips.

Different treatment methods


Why is it so important to take these precautions before undergoing tubectomy surgery?

Sperms are alive in semen for 48 to 72 hours. The sperms would be inside the Fallopian tubes, which can fertilize the egg or ova if the woman had sex about two days beforehand. It is possible to become pregnant with this fertilised ovum even after a tubectomy if it is implanted inside the uterus.

In addition to the presence of viable sperms in the Fallopian tubes, there is another factor to consider. Although tubectomy may remove the sperms from the Fallopian tubes, they can still fertilise the ovum perceptibly trapped at the end of the tubes. In this case, the fertilized egg is unable to pass into the uterus, therefore, it will impregnate the thin Fallopian Tube resulting in an ectopic pregnancy. Ectopic pregnancy is a dangerous condition because it may lead to a ruptured Fallopian tube, severe haemorrhage, and sometimes even death if not detected in time.


This permanent treatment involves cauterising both fallopian tubes together to prevent the eggs from reaching the uterus for implantation. If a patient requests a reversal, microsurgery and laparoscopic methods are used which have higher chances of success.

These treatments are most frequently used by women who wish to permanently control childbirth and pregnancy. To ensure the patient has no prior history of abdominal surgery or other complications, certain tests are performed prior to the treatment.

If you have a history of abdominal surgery, heart disease, or lung problems, or show signs of anaesthesia-related complications, tubectomy may not be a safe option for you. Occasionally, people consult their doctor and choose an alternative treatment.

Tubectomy is a procedure used to prevent women from becoming pregnant. It is possible to get pregnant after a tubectomy in rare cases, and it usually happens as the fallopian tubes regenerate over time. It can also occur when the surgeon does not perform the surgery properly.

Tubectomy is a complex and complicated procedure that involves cuts and stitches, while a vasectomy is considered better because it is a simple and safe procedure. Most women prefer vasectomy because it is more effective and reversible since it is performed for a particular period of time. However, tubectomy can never be reversed.

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