Hysteroscopic sterilisation: a study of women's attitudes to a novel procedure

“…This in turn could lead to difficulties in patient recruitment. This turned out to be the case during the pilot study with less than 8% of women approached willing to be randomised 7 . The majority of women expressed a preference for laparoscopic sterilisation, the most common reason being a desire to ‘be asleep’.…”

Section: Methodsmentioning

confidence: 98%

“…This turned out to be the case during the pilot study with less than 8% of women approached willing to be randomised. 7 The majority of women expressed a preference for laparoscopic sterilisation, the most common reason being a desire to 'be asleep'. The main reason women preferred hysteroscopic sterilisation was the 'quick recovery period'.…”

Section: Methodsmentioning

confidence: 99%

Female sterilisation: a cohort controlled comparative study of ESSURE versus laparoscopic sterilisation

Duffy

Marsh

Rogerson

et al. 2005

BJOG

130

View full text Add to dashboard Cite

Objective To compare patient satisfaction, discomfort, procedure time, success rate and adverse events of hysteroscopic (ESSURE, Conceptus Inc, San Carlos, USA) versus laparoscopic sterilisation. Design Cohort controlled comparative study.Setting The day surgery and outpatient unit of three large UK hospitals.Population Eighty-nine women requesting sterilisation were enrolled into the study.Methods A 2:1 ratio of ESSURE placement to laparoscopic sterilisation was undertaken. Laparoscopic sterilisation was carried out under general anaesthesia in the day surgery unit whereas all ESSURE procedures were carried out in a dedicated outpatient facility. All patients completed a self-assessment diary on days 7 and 90 post-operatively. Patient satisfaction, tolerance and discomfort were measured using an ordinal Likert style scale. Data were analysed using the m 2 test for statistical significance. Main outcome measures The primary outcome measure is patient satisfaction with ESSURE versus laparoscopic sterilisation. This included satisfaction with the decision to proceed with the relevant sterilisation method, recovery from the procedure and overall satisfaction following either ESSURE or laparoscopic sterilisation. Secondary outcome measures include successful completion of procedure, procedure time, tolerance, patient discomfort and post-operative adverse events. Results All women who underwent laparoscopic sterilisation had the procedure successfully completed whereas the overall bilateral device placement rate for ESSURE was 81%. Patient satisfaction with their decision to undergo either ESSURE or laparoscopic sterilisation was high with 94% of the ESSURE group being 'very' or 'somewhat' satisfied at 90 days post-procedure versus 80% in the laparoscopic sterilisation group. At 90 days post-procedure 100% of women in the ESSURE group were 'very satisfied' with their speed of recovery versus 80% in the laparoscopic sterilisation group. The procedure time (defined from the time of insertion of the hysteroscope or laparoscope to its removal) took significantly longer for ESSURE than laparoscopic sterilisation (mean ¼ 13.2 vs 9.7 minutes, P ¼ 0.045). However, the time required for insertion of a Verres needle and insufflation of the abdominal cavity is a necessary part of the laparoscopic sterilisation and had it been included would bring the procedures times more in line with each other. The mean time spent in hospital was significantly shorter for the ESSURE group than the laparoscopic group (188.7 vs 396.1 minutes, P < 0.005). Eighty-two percent of women in the ESSURE group described their tolerance of the procedure between 'good and excellent' compared with only 41% of the laparoscopic sterilisation group (P ¼ 0.0002). Only 31% of the ESSURE group reported moderate or severe pain following the procedure compared with 63% of the laparoscopic sterilisation group (P ¼ 0.08). Only 11% of patients had problems immediately post-operatively in the ESSURE group compared with 27% in the laparoscopy group. Finally, in the mor...

show abstract

“…Overall, 72% classed HSG as acceptable. Data analysis in a cohort of 96 women in the UK 25 showed that 77% would prefer laparoscopic sterilisation over the hysteroscopic procedure (23%), despite the advantages of an outpatient setting. Age, obstetric history, employment and marital status, access to transport and previous anaesthetic did not significantly influence the choice made.…”

Section: Women's Perspectivementioning

confidence: 99%

Hysteroscopic sterilisation with Essure(R): a promising new alternative to tubal ligation?

Sagili

Divers²

2008

Journal of Family Planning and Reproductive Health Care

View full text Add to dashboard Cite

Hysteroscopic sterilisation: a study of women's attitudes to a novel procedure

Cited by 10 publications

References 6 publications

Stérilisation tubaire par voie hystéroscopique : faisabilité et évaluation à un an

Stérilisation tubaire par voie hystéroscopique : faisabilité et évaluation à un an

Female sterilisation: a cohort controlled comparative study of ESSURE versus laparoscopic sterilisation

Hysteroscopic sterilisation with Essure(R): a promising new alternative to tubal ligation?

Contact Info

Product

Resources

About