Post-ablation tubal sterilization syndrome

Dr Henry Knipe and Dr Zishan Sheikh et al.

Post-ablation tubal sterilization syndrome (PATSS) is a recognized delayed complication seen in patients who have undergone both endometrial ablation and tubal sterilization. It has been reported in 6-8% of these patients and occurs when bleeding from residual endometrium is obstructed due to surrounding uterine scarring and tubal occlusion 1.

Cyclic unilateral or bilateral pelvic pain is the common presenting feature 2.

  • often normal as cornual haematometria and hematosalpinx can often be small volume
  • most sensitive and specific imaging modality 4
  • demonstrates blood products in uterine cornu and proximal hematosalpinx
    • bright T1 fat sat signal

Hysterectomy with proximal salpingectomy is definitive treatment 4.

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Article information

rID: 56896
System: Gynaecology
Tag: cases, refs
Synonyms or Alternate Spellings:
  • Postablation tubal ligation syndrome
  • Post-ablation tubal ligation syndrome
  • Post-ablation tubal sterilization syndrome
  • PATSS

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