How does the sterilization method used affect success of reversal?
The success of reversal surgery depends upon the damage done to the tubes by the sterilization operation. Some sterilization methods destroy more tissue than others. Clips do the least damage, followed by rings and tying methods. Electrocoagulation does the most damage and is the least reversible. Although sterilization methods that destroy the most tissue are the least reversible, they are believed to be the most effective means of sterilization. This is why electrocoagulation has been widely used in the United States as a method of blocking the tubes.
