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Sterilisation

  • Janesh K. Gupta
Chapter

Abstract

This is one of the commonest procedures performed in the UK. It is classed as a permanent and irreversible method of contraception. During consent alternatives to this method should be discussed in addition to the risks associated with it. This is usually performed laparoscopically by the application of Filshie clips on the isthmus of the tube. When a failure occurs there is a high risk of an ectopic pregnancy and this should be a differential diagnosis in women presenting with amenorrhoea following a sterilisation.

Keywords

Sterilisation Contraception Permanent contraception Essure Hysteroscopic sterilisation 

References

  1. 1.
    Faculty of Sexual and Reproductive Healthcare (FSRH) Clinical Effectiveness Unit guideline. Male and female sterilisation; 2014. http://www.fsrh.org/pdfs/MaleFemaleSterilisationSummary.pdf.
  2. 2.
    NICE Clinical Knowledge Summaries. Contraception – sterilisation. https://cks.nice.org.uk/contraception-sterilization#!scenario:1.
  3. 3.
    Varma R, Gupta JK. Failed sterilisation - evidence-based review and medico-legal ramifications. BJOG. 2004;111:1322–32.CrossRefPubMedGoogle Scholar
  4. 4.
    Antoun L, Smith P, Gupta JK, Clark TJ. The feasibility, safety, and effectiveness of hysteroscopic sterilization compared with laparoscopic sterilization. Am J Obstet Gynecol. 2017;217(5):570.e1–6.  https://doi.org/10.1016/j.ajog.2017.07.011. pii: S0002-9378(17)30853-0.CrossRefGoogle Scholar
  5. 5.
    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.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Perkins RB, Morgan JR, Awosogba TP, Ramanadhan S, Paasche-Orlow MK. Gynecologic Outcomes After Hysteroscopic and Laparoscopic Sterilization Procedures. Obstet Gynecol. 2016;128(4):843–52.CrossRefPubMedGoogle Scholar
  7. 7.
    Dhruva SS, Ross JS, Gariepy AM. Revisiting essure - toward safe and effective sterilization. N Engl J Med. 2015;373:e17.CrossRefPubMedGoogle Scholar
  8. 8.
    Varma R, Gupta JK. Predicting negligence in female sterilization failure using time interval to sterilization failure: analysis of 131 cases. Hum Reprod. 2007;22:2437–244.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyBirmingham Women’s & Children’s HospitalBirminghamUK

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