female sterilization Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article07-17-2020

    Results of the Insertion of Hysteroscopic Sterilization Devices in a Brazilian Public Hospital

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(6):325-332

    Abstract

    Original Article

    Results of the Insertion of Hysteroscopic Sterilization Devices in a Brazilian Public Hospital

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(6):325-332

    DOI 10.1055/s-0040-1712129

    Views132

    Abstract

    Objective

    To evaluate the insertion of the hysteroscopic intratubal sterilization device for female sterilization concerning the technique and the feasibility.

    Methods

    Retrospective study with data collection of medical records of 904 patients who underwent device insertion between January and September 2016 in a public hospital in Rio de Janeiro (Brazil) with data analysis and descriptive statistics.

    Results

    In 85.8% of the cases, the uterine cavity was normal, and themost commonlydescribed findings upon hysteroscopy were synechiae (9.5%). The procedure lasted an average of 3.56minutes (range: 1 to 10minutes), and the pain was considered inexistent or mild in 58,6% of the cases, mild or moderate in 32,8%, and severe or agonizing in less than 1% (0.8%) of the cases, based on a verbal scale ranging from 0 to 10. The rate of successful insertions was of 85.0%, and successful tubal placement was achieved in 99.5% of the cases. There were no severe complications related to the procedure, but transient vasovagal reactions occurred in 5 women (0.6%).

    Conclusion

    Female sterilization performed by hysteroscopy is a safe, feasible, fast, and well-tolerated procedure. The rates of successful insertions and tubal placements were high. There were few and mild adverse effects during the procedure, and there were no severe complications on the short term.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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