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The author, Dr. Donald Snyder, performs both vasectomy and Essure Tubal Ligation.

Tubal Ligations verses Vasectomy Part II

Comparing Complications: Tubal verses Vasectomy

After a Tubal, complications are more common than after a vasectomy. Also, the complications tend to be more severe. An estimated 600,000 tubals are performed in the United States each year. Complications leading to an additional procedure or hospitalization occur in 1-2% of cases. With tubal ligation, the fallopian tubes are deep inside the woman's body near other organs and blood vessels that can be injured. A woman must also be put under a general anesthesia for a tubal ligation procedure; and she has an incision which can become infected, bleed, or develop a hernia, not to mention it leaves a scar.

Essure™ and Adiana™ tubal ligations (hysteroscopic sterilization) present lower risks and less severe rates of complication than traditional tubals because:

  • General anesthesia is not needed,
  • The body cavity is not entered so other organs are safer and
  • There is no incision to get infected.

Complications rarely require hospitalization or additional procedures to correct.

NOTE: Essure and Adiana tubal ligation procedures are newer - Essure since 2002 and Adiana since 2009. Both require special training. As a result, not as many are performed annually as tubals. About 20,000 Essures and 2,000 Adianas are performed in the US annually. Adiana is no longer available as of April, 2012.

Traditional vasectomies (also known as "conventional" vasectomy, "incisional" vasectomy, and "scalpel" vasectomy) are about 10 times more likely than no scalpel vasectomy (NSV), to have complications, usually related to bleeding or infection at the site. These complications occur about 1% to 2% with traditional vasectomy, but only 0.1% to 0.2% with no-scalpel vasectomy. There are about 500,000 vasectomies performed in the US, and it is estimated that less than half are no scalpel vasectomy.

NOTE There is no substitute for experience. Many highly experienced physicians doing traditional vasectomy obtain far better results with lower complication rates than those inexperienced physicians who perform no-scalpel vasectomy.

For more:
Vasectomy Pain &Possible Complications
Post Vasectomy Pain Syndrome (PVPS) - Causes and Treatments
FAQ: What are some of the possible risks and complications?

Comparing the Recovery Period: Tubal verses Vasectomy

No scalpel vasectomy patients may leave the vasectomy doctor's office right away, but are asked to rest for the remainder of the day after their procedure. They can ease into routine activity over the next few days. Typically a man who undergoes a no-scalpel vasectomy on a Friday is back to work by Monday.

For more:
No Scalpel Vasectomy Recovery - After No Scalpel Vasectomy
Recovering after a Vasectomy

Patients having undergone a tubal ligation usually spend several hours at the facility where the surgery is performed, and usually do not go back to work for up to a week, and sometimes longer.

For Essure™ tubal ligation, patients have no restrictions after the procedure, and may become as active as they like as soon as the procedure is over.

Tubal Ligation verses Vasectomy - Contents

About the decision: tubal ligations vs. vasectomy
Shared considerations, pros and cons, advantages and disadvantages

Comparing complications
Comparing the recovery period

Comparing effectiveness
Comparing regret and reversal

Comparing the waiting period
Comparing cost

Tubal v. Vasectomy Summary
About the author, Dr. Donald Snyder

Article Source
With appreciation, this article has been written and submitted by Dr. Donald Snyder, a prominent vasectomy provider in the Indianapolis, Indiana area. He offers his patients no-needle, no-scalpel vasectomy.
Learn about his vasectomy practice
Learn more about Donald Snyder

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