Surgery for sterilization can be done in the female or male. Male sterilization is done by a urologist with a vasectomy. This is a minor procedure usually done in the office with quick recovery usually.
Sterilization in the female is most commonly done with tubal occlusion (blockage) or BTL, either at laparoscopy or with a techniques called Essure® at hysteroscopy. Essure® involves placing small springs in the fallopian tubes. Some physicians are even doing this in their offices. This sounds good, but there is one drawback. A procedure called an HSG must be done in radiology 3 months after the Essure® is placed to make sure the tubes are blocked. Even in the best of hands, an HSG hurts. For this reason, Dr. Biggerstaff has chosen not to do the Essure®.