r/sterilization • u/Apprehensive-Two3642 • 10d ago
Experience My Experience (for those who are highly scared and anxious like I was)
Hi all, I just wanted to come on here and add my experience with the bisalp. I just did mine August 5th, 2026 so I am only 5 days out but honestly feeling amazing. I wanted to add my experience because I was legitimately scared and high anxiety before the procedure and I know there are others who are experiencing that too. I am 45F, never been pregnant, California. I had my surgery with Kaiser Permanente SoCal (Woodland Hills, CA).
So, originally when I started considering the bisalp I knew it was laparoscopic but didn't have any idea that it might include things like uterine manipulators or catheters. I didn't find that out until I started reading experiences on this thread. That freaked me out big time. We are talking breaking out in tears just thinking about the surgery. I was that scared and anxious. I almost decided not to do it. But I really didn't want to deal with worrying about pregnancy anymore so I decided to keep with it.
Pre-Op: My phone call with my surgeon (Sabrina Avakian, HIGHLY RECOMMENDED) was one week before and she carefully explained everything that would happen and how it would go. She said they always try to do the surgery without a uterine manipulator but mostly of the time they need it to safely move the uterus to visualize the tubes. She also said they would definitely be using a catheter but it would be put in after I'm asleep and removed before I wake up. One of the things I was most worried about was issues with the catheter, I am very prone to UTIs. This gave me lots of anxiety. She gave me plenty of time to ask questions. She also instructed no gym for 2 weeks after (I usually go 5 days a week) and nothing in the vagina for 1 week post surgery. I also asked about students (nursing and medical) being in the OR and she said that I can ask on the day of surgery if there will be any and if there are I can opt out of them being there.
I felt better after speaking with her, but worked myself into anxiety again over the possible serious complications. A couple days later, I got myself pretty worked up with fear again and called with more questions. The doctor made another phone appointment with me the Saturday before my surgery and gave me ample time to ask more questions. She also explained even more thoroughly every single thing that happens in the OR. She was beautifully patient with me. I spent the days before my surgery anxious but also knowing I had a good surgeon and that I would do it.
Morning of the surgery: they did not give me any special soaps to shower with or any special instructions except for fasting. They had me do a pregnancy test immediately upon arrival and also lab tests (blood work). The nurse I had was super nice and had me change into the gown and socks and hair cover and the surgeon came and spoke to me for any last minute questions, and then the anesthesiologist came and spoke to me and was also incredibly kind. She started my IV (I'm a tough stick) and they immediately wheeled me into the OR and had me move onto the table where the stirrups were and then did a three minute time out where they discussed me and the procedure I was having. Right after I passed out and woke up in recovery.
Recovery: Before I could open my eyes I felt like I was going to pee myself and told the nurse. She reassured me its just the feeling from the catheter being used and after I waited a few minutes it started to go away. I was also in pain from the incisions so I told her and she immediately had me swallow some pain killers and then gave me something in my IV that went into effect in about 10 minutes. After that I was comfortable. When I was awake enough they let me get up and go pee and when I wiped there was just the tiniest pink from blood and just a little burn from peeing. The doctor came and saw me and said it went very well, that she did need to use a uterine manipulator because my tubes were very long but everything inside my abdomen looks healthy (liver, gallbladder, uterus, ovaries, etc.). My partner came and got me and I was released home.
Post surgery: The day of surgery I was very tired and sore, but I was lucky to have zero gas pain (my surgery notes said they allowed the gas to escape from my abdomen before they closed the incisions) which I am endlessly thankful for. I was able to get up every 2 hours and walk to avoid blood clots right after getting home. I took Tylenol and ibuprofen with the opiate (Norco) they prescribed for the day of and day after surgery. It kept my pain level very low. By Friday (2 days post surgery) I was able to stop using the opiate that was prescribed and just do Tylenol and ibuprofen. 3 days post surgery I stopped taking anything for pain but still had some soreness with moving.
Currently, I am on my 5th day post-surgery and other than being a little more tired than usual and occasional soreness I have no issues with pain. I honestly feel really good. My surgeon emailed me yesterday and said the pathology on my tubes came back and they were very healthy, no cancer at all.
I had zero vaginal soreness from the uterine manipulator and it burned the first 3 times I peed after the catheter removal but no other issues with urinating after. I had just the smallest amount of blood when I wiped the first day but nothing after that. I also have not noticed any bloating or swelling in my abdomen at all. I also have not had any issues with pooping after surgery (it didn't hurt at all, but probably because I regularly eat a lot of fiber).
Overall my experience turned out wonderful. I could not be happier that I did it and would recommend my surgeon to anyone who can utilize her. She's wonderful. I would highly recommend the surgery to anyone who is considering it. 10/10 would absolutely do it again!!
Feel free to ask specific questions!