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Hysteroscopic Tubal Sterilization

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Office-Based Gynecologic Surgical Procedures

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Abstract

Hysteroscopic sterilization was introduced in 2002 and has become an essential office gynecologic procedure for women who no longer desire fertility. Initially, two approved sterilization systems were introduced to market but only is currently in widespread use: the Essure™ Permanent Birth Control System. This procedure consists of two metal–polymer microinserts which are hysteroscopically placed to transverse the uterotubal junction and allow for tissue in-growth and tubal occlusion over time. The procedure has been extensively studied and has been easily adapted to the office surgery practice. It has superior effectiveness, is relatively pain-free and with few complications. Patient evaluation and preparation as well as procedural technique is reviewed as well as tips on assessing the post-procedure hysterosalpingogram are discussed. In-office hysteroscopic sterilization is a safe, straightforward procedure which is ideally suited for a gynecologic office practice.

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Authors and Affiliations

  1. Department of Obstetrics & Gynecology, Women’s Health Institute, Cleveland Clinic, 2550 SOM Center Road, Suite 100, Willoughby Hills, OH, 44094, USA

    Jonathan D. Emery M.D., F.A.C.O.G.

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  1. Jonathan D. Emery M.D., F.A.C.O.G.
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Correspondence to Jonathan D. Emery M.D., F.A.C.O.G. .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecolog, Cleveland Clinic, Willoughby Hills, Ohio, USA

    Jonathan D. Emery

  2. Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio, USA

    Marie Fidela R. Paraiso

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Emery, J.D. (2015). Hysteroscopic Tubal Sterilization. In: Emery, J., Paraiso, M. (eds) Office-Based Gynecologic Surgical Procedures. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1414-2_8

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  • DOI: https://doi.org/10.1007/978-1-4939-1414-2_8

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  • Online ISBN: 978-1-4939-1414-2

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