Hysteroscopic tubal occlusion with formed-in-place silicone plugs

One hundred sixty-one patients underwent hysteroscopic tubal occlusion with formed-in-place silicone rubber plugs over 8 months. In 86% bilateral plug placement was successful with the patient under local anesthesia in an office setting. There have been no pregnancies in 683 woman-months of sterilization to date. The procedure is seen as an effective alternative to current methods of female sterilization. The advantage of the procedure over laparoscopic sterilization is discussed.