Comparison of Transvaginal Natural Orifice Surgery (vNOTES) and Laparoscopic Tubal Ligation: Effects on Postoperative Pain, Sexual Functions, and Surgical Outcomes

vNOTES is a safe and effective alternative to CL for female sterilization. It offers significant benefits in terms of reduced early postoperative and shoulder pain, without negatively affecting sexual function or surgical safety. These findings highlight the potential advantages of vNOTES as a minimally invasive technique in gynecologic surgery.