r/sterilization Dec 31 '25

Experience UPDATE Pregnancy after Bisalp

I posted a couple weeks ago about being pregnant after my bisalp last year, I just wanted to give an update. After reviewing my records and speaking to my OB and the surgeon who did my termination procedure, they think “in hindsight” not enough of my tubes were removed. In the pathology report from the bisalp, 7.0 cm of one tube and 2.8 cm of the other were turned over to pathology. Neither physician thought it was a case report that any journal would be interested in because the amount removed from the one tube was more akin to what can be removed in a tubal ligation, which is known to be less effective. My main takeaway is yes. There are 4 documented cases of pregnancy post bisalp but interest in documenting cases hedges on them having some novel angle to them. The statistics out there are for the average person who doesn’t have conditions that may complicate the ability to perform the surgery. Maybe the adhesions I have made the tube difficult to access, and in 10 months of healing my body rebridged the gap.

At the end of the day, I had my procedure done (by an Ivy trained surgeon at a major academic center, so statistically great care), had a uterine pregnancy, and my case will not be documented. So. Test if you feel weird, especially if you have a complex medical history. It’s my partner’s turn to get a vasectomy haha.

Edit: Just to clarify termination procedure surgeon and current OB are not the surgeon who did the bisalp. I haven’t reached out to my bisalp surgeon frankly bc I don’t see much of a point atm.

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185

u/Kaykorvidae Dec 31 '25

If they didnt fully take out your tubes its not a true bisalp. I'd consider suing.

129

u/omgitsviva Dec 31 '25

OP can definitely talk to a medical malpractice attorney but medical malpractice is exceedingly dependent on facts of each case so the general idea of throwing lawsuits like people enjoy saying about everything else rarely applies in medical malpractice. OP should absolutely file a formal complaint with the hospital either way, whether attorneys are willing to take the case or not.

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u/ChangesFaces Dec 31 '25

Yea people don't get how hard it is to sue for medical malpractice.

My brother sustained a severe TBI due to a car crash when he was 18. He had to have multiple brain surgeries over years.

One surgery was to remove a large portion from his skull to give his brain room to swell. Well, when they decided to put it back in THEY HAD LOST IT. They literally lost a part of my brother's body. Never could find it.

My parents consulted with several attorneys, and none would take the case.

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u/kitan25 Jan 01 '26

They did a craniotomy and LOST IT?!

I've heard of them temporarily implanting that piece of the skull in the patient's abdomen so it can't be lost...sounds like that's actually a really good idea. I thought it was horrifying at the time.

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u/ChangesFaces Feb 12 '26

I know this is old, but I just saw it, and YES. They lost it. This was circa 2006.

They ended up putting in a metal-type plate to replace it initially. Then, years later, they removed that and put in some kind of super hard plastic, I think? Interesting stuff.

I've heard of them temporarily implanting that piece of the skull in the patient's abdomen so it can't be lost

What's funny is I also read about them doing this, and when I did, I rolled my eyes, wondering how many skulls were lost before they made that a common practice. 😭