VNOTES Tubal Ligation

14.05.2026 Prof. Dr. Cihan Kaya

Tubal Ligation (Sterilization) with vNOTES – Patient Information Guide

What is Tubal Ligation with vNOTES?

With the vNOTES method, fallopian tubes can be ligated or closed by entering through the vaginal route. This procedure is a permanent birth control method and leaves no incision scar on the abdomen.

Purpose

By closing the fallopian tubes, the union of sperm and egg is prevented, thus preventing pregnancy.

Who is it Suitable For?

• Women who have completed childbearing
• Those seeking a permanent contraception method
• Those who prefer minimally invasive surgery

How is the Surgery Performed?

• Entry is made through the vaginal route
• The fallopian tubes are visualized with a camera
• The fallopian tubes are ligated, cauterized, or removed
• No incision is made on the abdomen

Advantages

• Scarless surgery
• Less pain
• Rapid recovery
• Short hospital stay

Surgery Duration and Anesthesia

It is usually performed under general anesthesia and takes an average of 20–45 minutes.

Who is it Not Suitable For?

• Undecided patients (reversal is difficult)
• Extensive adhesions
• Cases where vaginal access is difficult

Post-Surgery

• Same-day discharge is possible
• Mild pain may occur
• Rapid return to daily life is ensured

Points to Consider

• Avoid heavy lifting in the first few days
• Doctor's appointments should not be missed

Possible Risks

• Bleeding
• Infection
• Rarely, re-opening of the fallopian tubes

Important Information

This method is permanent. Reversal is difficult and has a low success rate. Therefore, the decision should be made carefully.

Conclusion

Tubal ligation with vNOTES is a scarless and comfortable permanent birth control method.

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