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

Journal BMJ
Authors Mao J, Pfeifer S, Schlegel P, & Sedrakyan A.
Year Published 2015
Link to publication


Female sterilization is one of the most commonly used methods of contraception, and is traditionally performed via laparoscopy to ligate fallopian tubes of both sides. Since the introduction of the Essure device 12 years ago, interval sterilization can be also performed by inserting the device with hysteroscopy. With the increasing use of Essure, there have been reports to the FDA of adverse events, and the efficacy has also been questioned. The present study compared the safety and efficacy of Essure-based hysteroscopic sterilization to the traditional laparoscopic procedure. Short-term adverse events following both procedures were rare. Hysteroscopic and laparoscopic sterilization also had similar risks of unintended pregnancy following surgery. However, the Essure procedure was associated with a 10 times higher risk of reoperation within the first year following surgery.