• Mark Nichols, James F Carter, Donald L Fylstra, Meredith Childers, and Essure System U.S. Post-Approval Study Group.
• Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, USA.
• J Minim Invasive Gynecol. 2006 Sep 1; 13 (5): 447-50.

Study ObjectiveTo compare hysteroscopic female sterilization procedures performed in-office versus a hospital operating room (OR) among newly trained physicians.DesignMultisite hospital operating rooms and physician offices.PatientsWomen desiring permanent hysteroscopic sterilization.InterventionHysteroscopic female sterilization with the Essure system.Measurements And Main ResultsProcedure time (scope in/scope out time), device placement rates, and incidence of complications and adverse events were compared. There was no significant difference in scope time between the 2 settings. There was no significant difference in placement rates, although the placement rate was somewhat higher in-office (91% vs 88%). There were no complications among any of the procedures, and the incidence of minor adverse events was extremely low in both settings (OR=2%, in-office=1%).ConclusionThere is no clear advantage to performing hysteroscopic sterilization in a hospital OR. Hysteroscopic sterilization can be performed safely and efficiently in an office setting.

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