BMJ : British medical journal
-
Multicenter Study Comparative Study Observational Study
Safety and efficacy of hysteroscopic sterilization compared with laparoscopic sterilization: an observational cohort study.
To compare the safety and efficacy of hysteroscopic sterilization with the "Essure" device with laparoscopic sterilization in a large, all-inclusive, state cohort. ⋯ 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.