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Cut-away diagram of a sterilization procedure: to magnify, please click on the image.

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This is How the Sterilization Procedure Works

You have opted to undergo a sterilization procedure (laparoscopic tube sterilization). Even if this involves a routine intervention lasting a few minutes, you are most likely uncomfortable and would like to learn more about this upcoming procedure. The following information is intended to help you in this regard. We are happy to also make an appointment for you, when you can become acquainted with the physician, nurses and the facilities prior to the procedure.

Before the Intervention

Please bring a referral notice from your physician. We also require a blood profile, and if possible, a current postassium and coagulation reading. As of 1 January 2004, sterilization procedures are no longer covered by the health insurance system. Sterilization for medical reasons is an exception to this rule. To do this, we require a statement of cost coverage from your health insurance policy. In all other cases you must cover the costs of € 450.00 out of your pocket. The balance is paid directly in the operation center. Please ensure that you will be able to be picked up by an accompanying person after the operation.

Take particular care not to eat, drink, or smoke up to 6 hours before the appointment for the operation. Please consume your regular medications after getting up, along with water.

The Intervention itself

At first you will receive a consent approval form that has been prepared by us. Please read this form carefully and then submit it to us signed. You will then have enough time for a discussion with the physician, during which you can clarify still outstanding questions. We take pains to avoid waiting times. However, sometimes intervention procedures with other patients end up taking more time than expected, such that we ask for your understanding in the event of unforeseen waiting times.

Under full anesthesia, an optical instrument will then be inserted around the area of the navel into the stomach cavern. Prior to this, the stomach cavern will be filled with a gas in order to improve vision and to make more space available for the intervention. Then special instruments are inserted through insertions in the lower abdomen, with which the fallopian tubes are separated and cauterized on both sides. The sterilization takes approximately 15 to 20 minutes. Then you will be taken to a resting room. After three to four hours, you will normally be once again fit to leave the practice in the company of another person. Please remember that after undergoing anesthesia you may not actively participate in vehicle traffic, use any public transportation, operate machinery, drink any alcohol or make any important decisions.

After the Intervention

The sterilisation is effective immediately after the intervention so that no other preventive measures are necessary. After the intervention stomach pains may occur, as a part of which in particular upper abdominal pains may be caused by leftovers of the gas, and also pain radiating into the shoulders. This is however not dangerous, and will decline in the first few days after the intervention. After approximately one week, the sutures will have to be removed by your referring physician.

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