Safety and efficacy of hysteroscopic sterilization compared with laparoscopic sterilization: an observational cohort study

BMJ, 13 October 2015

The objective of this study was to compare the safety and efficacy of hysteroscopic sterilization with the “Essure” device with laparoscopic sterilization in a large, all-inclusive, state cohort.  The study concludes that patients undergoing hysteroscopic sterilization have a similar risk of unintended pregnancy but a more than 10-fold higher risk of undergoing reoperation compared with patients undergoing laparoscopic sterilization. Benefits and risks of both procedures should be discussed with patients for informed decisions making.

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