Vaginal Natural Orifice Transluminal Endoscopic Surgery Versus Laparoscopic Tubal Ligation for Interval…

Cohort studyThe journal of obstetrics and gynaecology research· Aug 2026

Vaginal Natural Orifice Transluminal Endoscopic Surgery Versus Laparoscopic Tubal Ligation for Interval Sterilization: A Retrospective Cohort Study.

Ozan Karadeniz, Yunus Katırcı, Gizem Nur Koyan Karadeniz … Emre Kar

AnesthesiologyCohort studyTreatmentQ2IF 1.7

Vaginal natural orifice surgery linked to fewer painkiller doses than laparoscopy for tubal ligation

Vaginal Natural Orifice Transluminal Endoscopic Surgery Versus Laparoscopic Tubal Ligation for Interval Sterilization: A Retrospective Cohort Study.

Ozan Karadeniz … Emre Kar

The journal of obstetrics and gynaecology research · Aug 2026 · Q2 in General Medicine

Background

To compare the transvaginal natural orifice transluminal endoscopic surgery (vNOTES) approach versus conventional laparoscopy in bilateral tubal ligation for interval sterilization regarding perioperative outcomes, postoperative pain, and sexual function.

Methods

This retrospective cohort study at a tertiary center included 88 women who underwent elective tubal ligation between February 2024 and October 2025 (vNOTES: n = 39; laparoscopy: n = 49).

n = 88 women

1.72

Results

1.72

± 0.76 vs. 4.88 ± 1.63 doses

women needed fewer painkiller doses after vaginal-approach surgery than after laparoscopy

n = 88 women

More results

Baseline characteristics were comparable between groups (vNOTES: n = 39; laparoscopy: n = 49).

No intraoperative conversions occurred.

Complication rates were similar between groups (p > 0.999).

Female Sexual Function Index scores showed no significant differences at baseline, 1, or 6 months postoperatively.

“

Conclusion

vNOTES for tubal ligation offers significant advantages in postoperative pain reduction, decreased analgesic requirements, and shorter hospital stay while maintaining comparable operative times, safety, and sexual function outcomes.

Vaginal Natural Orifice Transluminal Endoscopic Surgery Versus Laparoscopic Tubal Ligation for Interval Sterilization: A Retrospective Cohort Study.

Vaginal Natural Orifice Transluminal Endoscopic Surgery Versus Laparoscopic Tubal Ligation for Interval Sterilization: A Retrospective Cohort Study.

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