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An inherent weakness of large clinical trials or retrospective reports of hysteroscopic sterilization success is that only women who had successful completion of the procedure can be included.
To evaluate real-life outcomes, Gariepy and colleagues performed a decision analysis to estimate the probability of pregnancy after hysteroscopic sterilization and laparoscopic approaches with silicone rubber band application and bipolar coagulation.
Hysteroscopic sterilization builds on operative hysteroscopic skills with which gynecologists are familiar.
2) Novice users had never performed hysteroscopic sterilization and had only performed 3 to 5 proctored cases.
For example, some studies have reported that patients recover more quickly, and fully, after hysteroscopic sterilization than after laparoscopic tubal ligation.
3,4) The phase 2 study evaluated the effectiveness of hysteroscopic sterilization with Essure.
Hysteroscopic sterilization using a micro-insert device: results of a multicentre Phase II study.
This now makes it economically advantageous to perform procedures in the office setting, especially diagnostic hysteroscopy, endometrial ablation using the second-generation devices, and hysteroscopic sterilization.
Hysteroscopic sterilization represents a viable option for women who desire permanent sterilization.
Hysteroscopic sterilization, diagnostic hysteroscopy, and some endometrial ablation techniques are ideally suited to be performed in most physicians' offices.
Medical Center, we have performed more than 12,000 gynecologic office procedures--from diagnostic hysteroscopies to hysteroscopic sterilizations and endometrial ablations--under local anesthesia with minimal oral sedation, over a 25-year period.
I think all of us in the next 5 years will be doing hysteroscopic sterilizations in the office," Dr.