TUbal LIgation Per Differents Endoscopic Routes and Sexuality (TULIPES)

Sexuality After Tubal Sterilization by Conventional Abdominal Laparoscopy or Vaginal Natural Orifice Transluminal Endoscopy (vNOTES) : a Randomised Controlled Trial

The goal of this clinical trial is compare the quality of sexual life at 6 months after tubal ligation, depending on whether it was performed by abdominal laparoscopy or by vNOTES, on the basis of a non-inferiority hypothesis. Participants will answer on the FSFI-19 questionnaire and quality of sexual life will be evaluated according to the score obtained at 6 months post-operative compared to pre-operative.

Inclusion Criteria:

• Adult woman, eligible for tubal ligation by total salpingectomy or tubal section coagulation, sexually active at the time of inclusion
• Able to give informed consent to participate in research
• Affiliated to a social security system.

Exclusion Criteria:

• Current pregnancy or breastfeeding
• Indications of another concomitant surgical procedure (other than procedure on the appendix)
• History of upper genital infection
• Proven or suspected rectovaginal endometriosis on clinical examination
• History of rectal surgery
• Virgin patient
• Any concomitant pathology deemed incompatible with the study.
• Uncured COVID or SARS-COv2 positivity dated less than 3 days prior to surgery.
• Protected adult patient, under guardianship or curatorship
• Patients not affiliated to the social security system
• Patients who do not speak French
• Patients under legal protection
• Refusal to participate.