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[A new hysteroscopic method for sterilization: 45 patients]
1Service de Gynécologie-Obstétrique et Biologie de la Reproduction, CHU de Nantes, 9 quai Moncousu, 44093 Nantes Cedex, France.
Objectives:
French study of the feasibility and safety of a new hysteroscopic method for sterilization under local anesthesia.
Materials And Methods:
After information, all candidates for sterilization were invited to choose between the laparoscopic or hysteroscopic methods. Essure performed under local analgesia was used for hysteroscopic sterilization. Operative time, intensity of pain using a visual analog scale and secondary discomfort were recorded.
Results:
A cohort of 57 women were enrolled in this study and 45 chose hysteroscopy. Two were excluded after discovery of an intrauterine pathology during the hysteroscopic procedure. Placement of a bilateral device was successful in 41 patients (90.3%); under local analgesia only in 29 patients (68.3%). Mean time needed for device placement was 25.6 9 min and hospital stay was 9.8 hours. Pain was scored 56/100 on the visual analog scale.
Conclusion:
Laparoscopy remains the mainstay method used for sterilization but does involve risks. Hysteroscopic device placement seems to be safe, rapid and an effective procedure.
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