Permanent Methods

Colpotomy During a Tubal Ligation

February 4, 2018

A colpotomy is a sort of incision that’s made in the rear wall of the anus. Throughout a tubal ligation, your health care provider can use a colpotomy (also known as a vaginotomy) as among the ways to reach your stomach tubes. A tubal ligation that uses a colpotomy incision is considered to be minimally invasive surgery.


The colpotomy method of tubal ligation was the favored female sterilization technique.

Now, however, doctors usually use laparoscopy or laparotomy since these abdominal tubal ligation processes don’t have as many risks as a colpotomy.

The Procedure

A colpotomy is a type of incision which can be used through a vaginal sterilization procedure (the other kind of process is known as a culdoscopy). During a colpotomy tubal ligation, your doctor makes an incision to the posterior vaginal fornix (the fancy medical term for the back of the vagina). This incision may be made horizontally (side to side) or vertically (up to down). Your surgeon will then insert an intrauterine sound through the incision and in the peritoneal cavity (the area within the abdomen that includes the intestines, the stomach, and the liver).

The bronchial audio is just a medical instrument that is intended to help probe and open passages inside the body–it helps the physician to correctly position the uterus and deliver the fallopian tubes to view.

Some surgeons may use an endoscope (a small, telescope-like medical instrument with a light). Your surgeon will then take your fallopian tubes outside through the incision and into the anus. Your fallopian tubes are subsequently closed/ligated–they are sometimes tied, trimmed, or sealed closed. Finally, your doctor will set the fallopian tubes back into place, and your incision is stitched shut.

A tubal ligation that includes a colpotomy incision requires approximately 15 to 30 minutes. Most women can go home the very same moment. This sort of procedure is regarded as a permanent method of contraception.


Colpotomy: col·kettle ·o·my (käl′päd·ə·mē)

Things to Expect Post-Procedure

You may expect that your recovery from a colpotomy is going to take a few days. Your doctor will likely suggest that you wait to have sexual intercourse until your incision has completely healed–that generally takes a few weeks. As soon as you have healed from you colpotomy, you will have no visible scars.


A major benefit of getting a colpotomy through your tubal ligation is that there are no incisions in your abdomen. This sort of tubal ligation may also offer extra advantages.  A colpotomy tubal ligation can be a safer choice for women who:

  • Are heavy
  • Have a retroverted uterus (a uterus that exfoliates back instead of front)
  • Have a history of abdominal wall/hernia fixes


There are not as many surgeons in the USA who are trained to perform a colpotomy as a tubal ligation procedure. Research is now showing that this method may be safer than originally thought. But many surgeons prefer to do abdominal tubal ligations since the complication rates associated with colpotomy tubal ligations appear to be twice as large, and the efficacy rates could be marginally lower.

Colpotomy tubal ligations have also been linked to high infection prices. Some surgeons will supply you with antibiotics to take following a colpotomy to help stop infection. A colpotomy are also more challenging to perform because it needs a woman to be in a lithotomy position (your thighs are in stirrups) while under local anesthesia.