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Advances in hysteroscopic sterilisation

The Jessop Wing, The Royal Hallamshire Hospital, Sheffield, S10 2SF, UK E-mail: ted.baxter{at}sth.nhs.uk

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.

Keywords Essure® / hysteroscopy / outpatient procedures / sterilisation