Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Hysteroscopic vs Laparoscopic Sterilization

Safety and efficacy compared

Patients who underwent hysteroscopic sterilization did not have a greater risk of unintended pregnancy than those who underwent laparoscopic tubal ligation but did have a more than 10-fold higher risk of undergoing reoperation compared with patients undergoing laparoscopic sterilization. This according to a study of 8,048 patients undergoing hysteroscopic sterilization and 44,278 undergoing laparoscopic sterilization over an 8-year period. At 1 year after surgery, researchers determined:

• Hysteroscopic sterilization was not associated with a higher risk of unintended pregnancy (OR 0.84) but was associated with a substantially increased risk of reoperation (OR 10.16) compared with laparoscopic sterilization.

• Benefits and risk of both procedures should be discussed with patients for informed decision making.

Citation: Mao J, Pfeifer S, Schlegel P, Sedrakyan A. Safety and efficacy of hysteroscopic sterilization compared with laparoscopic sterilization: an observational cohort study. BMJ 2015;351:h5162. doi: 10.1136/bmj.h5162.