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A comparative study of hysteroscopic sterilization performed in-office versus a hospital operating room
Mark Nichols1, James F Carter, Donald L Fylstra
1Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USA.
Study Objective:
To compare hysteroscopic female sterilization procedures performed in-office versus a hospital operating room (OR) among newly trained physicians.
Design:
Multisite hospital operating rooms and physician offices.
Patients:
Women desiring permanent hysteroscopic sterilization.
Intervention:
Hysteroscopic female sterilization with the Essure system.
Measurements And Main Results:
Procedure time (scope in/scope out time), device placement rates, and incidence of complications and adverse events were compared. There was no significant difference in scope time between the 2 settings. There was no significant difference in placement rates, although the placement rate was somewhat higher in-office (91% vs 88%). There were no complications among any of the procedures, and the incidence of minor adverse events was extremely low in both settings (OR=2%, in-office=1%).
Conclusion:
There is no clear advantage to performing hysteroscopic sterilization in a hospital OR. Hysteroscopic sterilization can be performed safely and efficiently in an office setting.
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