Gynecologic Complications Up With Hysteroscopic Sterilization

Share this content:
Gynecologic Complications Up With Hysteroscopic Sterilization
Gynecologic Complications Up With Hysteroscopic Sterilization

TUESDAY, Jan. 23, 2018 (HealthDay News) -- Hysteroscopic sterilization is associated with an increased risk of gynecologic complications compared with laparoscopic sterilization, according to a study published in the Jan. 23/30 issue of the Journal of the American Medical Association.

Kim Bouillon, M.D., Ph.D., from the French National Agency for Medicines and Health Products Safety in Saint-Denis, and colleagues compared the risk of reported adverse events between hysteroscopic and laparoscopic sterilization in a nationwide cohort study. Data were included for 105,357 women aged 30 to 54 years who underwent a first hysteroscopic sterilization (67.7 percent) or laparoscopic sterilization (32.3 percent) between 2010 and 2014.

The researchers found that the risk of surgical complications was lower for hysteroscopic sterilization during the hospitalization for sterilization (0.13 versus 0.78 percent; adjusted risk difference, −0.64); the risk for medical complications was also lower for hysteroscopic sterilization during hospitalization (0.06 versus 0.11 percent; adjusted risk difference, −0.05). During the first year after sterilization, 4.83 and 0.69 percent of women who underwent hysteroscopic and laparoscopic sterilization had sterilization failure (adjusted hazard ratio, 7.11; adjusted risk difference, 4.23 per 100 person-years). Overall, gynecologic reoperation was required for 5.65 and 1.76 percent of women who underwent hysteroscopic and laparoscopic sterilization, respectively (adjusted hazard ratio, 3.26; adjusted risk difference, 4.63 per 100 person-years); these differences were attenuated after three years but persisted. Hysteroscopic sterilization was not associated with significantly increased risks of medical outcomes.

"These findings do not support increased medical risks associated with hysteroscopic sterilization," the authors write.

One author disclosed financial ties to Boston Scientific.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Bayer Stops U.S. Sale of Essure Birth Control Implant

Bayer Stops U.S. Sale of Essure Birth Control ...

Problems with device include chronic pain and perforations of the uterus and fallopian tubes

C.S. Mott Poll Addresses Child Safety at Amusement Parks

C.S. Mott Poll Addresses Child Safety at Amusement ...

2016 saw U.S. emergency departments deal with 30,000 injuries linked to amusement parks, carnivals

Greening Vacant Land Improves Neighborhood Mental Health

Greening Vacant Land Improves Neighborhood Mental Health

Cleaning up vacant lots in resource-limited urban settings can aid residents' mental health

is free, fast, and customized just for you!




Already a member?

Sign In Now »