Post-ablation Tubal Sterilization
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Post-ablation tubal sterilization syndrome (PATSS) is a rare complication that could occur in patients with prior tubal sterilization following an
endometrial ablation Endometrial ablation is a surgical procedure that is used to remove (ablate) or destroy the endometrial lining of the uterus in people who have heavy menstrual bleeding. Endometrial ablation is not recommended for people who wish to have childre ...
procedure.
Occult bleeding Fecal occult blood (FOB) refers to blood in the feces that is not visibly apparent (unlike other types of blood in stool such as melena or hematochezia). A fecal occult blood test (FOBT) checks for hidden (occult) blood in the stool (feces). The ...
into the obstructed tubes causes tubal distention and cyclic
pelvic pain Pelvic pain is pain in the area of the pelvis. Acute pain is more common than chronic pain. If the pain lasts for more than six months, it is deemed to be chronic pelvic pain. It can affect both the male and female pelvis. Common causes in include ...
. Endometrial ablation devices are used for the treatment of
menorrhagia Heavy menstrual bleeding (HMB), previously known as menorrhagia or hypermenorrhea, is a menstrual period with excessively heavy flow. It is a type of abnormal uterine bleeding Abnormal uterine bleeding (AUB), also known as (AVB) or as atypical ...
due to dysfunctional
uterine bleeding Vaginal bleeding is any expulsion of blood from the vagina. This bleeding may originate from the uterus, vaginal wall, or cervix. Generally, it is either part of a normal menstrual cycle or is caused by hormonal or other problems of the reproductiv ...
. As the popularity of safer, effective, and less invasive procedures increase, the
obstetrics Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
and
gynecology Gynaecology or gynecology (see spelling differences) is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with the field of obstetrics, forming the combined are ...
community will likely see more uncommon
adverse event An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can ther ...
s.


External links

* {{cite journal , pmid = 8355945 , volume=82 , title=Post-ablation-tubal sterilization syndrome , year=1993 , journal=Obstet Gynecol , pages=422–4 , last1 = Townsend , first1 = DE , last2 = McCausland , first2 = V , last3 = McCausland , first3 = A , last4 = Fields , first4 = G , last5 = Kauffman , first5 = K, issue=3 Sterilization (medicine)