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Advances in hysteroscopic sterilisation
Author(s) -
Baxter Andrew J
Publication year - 2006
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.8.2.103.27229
Subject(s) - essure , medicine , audit , informed consent , outpatient procedure , hysteroscopy , surgery , medical physics , research methodology , population , family planning , alternative medicine , business , environmental health , accounting , pathology
Hysteroscopic sterilisation performed in the outpatient setting avoids the risks and discomfort associated with the laparoscopic procedure. A variety of techniques has been assessed and discarded, mainly because of poor efficacy. More recently, the Essure® procedure has been shown to be easy to perform, acceptable to women and highly effective at five‐year follow‐up. However, concerns remain about the absolute irreversibility of this method of sterilisation. Other devices in development may prove to be equally effective but reversible. When introducing any new therapy it is important to ensure that informed consent is taken and outcomes are prospectively audited.