Surgical methods - sterilization
Surgical sterilization is a permanent contraceptive method — vasectomy for men and tubal ligation for women. At Palmotićeva Clinic, performed laparoscopically in a hospital setting with quick recovery.
What is surgical sterilization?
Surgical sterilization is a permanent method of contraception recommended for individuals who are completely certain they no longer wish to have children. The procedure differs between men and women in terms of technique, type of anesthesia, and recovery time.
Male sterilization — vasectomy
A vasectomy is a minimally invasive surgical procedure performed under local anesthesia. During the procedure, the surgeon ties off or cuts the vas deferens — the duct through which sperm travel from the testes to the ejaculate.
- Performed on an outpatient basis, no general anesthesia required
- Procedure duration: 15–30 minutes
- Recovery: 2–3 days of rest
- Full effectiveness confirmed by follow-up semen analysis (usually 3 months post-procedure)
- Does not affect erectile function, libido, or hormonal status
Female sterilization — tubal ligation
In women, sterilization is performed by tying or blocking the fallopian tubes (tubal ligation), preventing the egg from making contact with sperm and reaching the uterus.
- Performed under general anesthesia, most commonly via laparoscopic approach
- Procedure takes 30–60 minutes in a hospital setting
- Recovery: 1 day hospitalization, full function within 5–7 days
- More complex than vasectomy but with a high success rate
- Does not affect menstrual cycle or hormonal balance
Who is a candidate for surgical sterilization?
- Individuals over 30 who have completed family planning
- Couples seeking a permanent, reliable contraceptive solution
- Women for whom other forms of contraception are medically contraindicated
- The decision is made following a mandatory consultation and informed consent
Benefits and risks of sterilization
- Benefits: permanent protection against unintended pregnancy, no need for daily contraception, does not affect intercourse
- Risks: as with any surgical procedure — potential for infection, bleeding, or anesthesia reaction (very rare)
- Sterilization is irreversible — reversal is possible but has a significantly lower success rate
Preparation at Palmotićeva Clinic
A thorough gynecological or urological exam is conducted prior to sterilization. Our team of specialists will advise you on all aspects of the procedure, including alternative contraception methods, to help you make an informed decision.
Performed by
Dr Đorđe Petković
Consultant in Operative & Endoscopic Gynaecology · 17+ years of experience
Patients often ask
Sterilization is considered a permanent method. Reversal is technically possible but with a significantly lower success rate, particularly in women.
No. Vasectomy does not affect erectile function, libido, or hormonal status. The only change is the absence of sperm in the ejaculate.
Hospitalization lasts 1 day. Full function returns within 5–7 days. Women can resume daily activities after 2–3 days.
It is recommended for individuals over 30 who have completed family planning. Informed consent and a consultation are mandatory.
No. Sterilization only protects against pregnancy. Condom use is necessary for protection against sexually transmitted infections.