Collaborative study on hysteroscopic sterilization procedures. Preliminary report.
Preliminary results of a retrospective study of 773 cases of hysteroscopic sterilization are presented. Of the 524 cases tested for tubal patency, 186 (35.5%) were considered failures either because of incomplete blockage of the tubes or pregnancy. Fifty-nine pregnancies (23.7%) were reported in the 249 cases which were not tested for tubal patency. In the total population 25 complications were designated as major, for a major complication rate of 3.2%. These included uterine perforation, bowel damage, peritonitis, ectopic preganncy, and 1 death from bowel perforation with peritonitis. The implications of these excessively high failure and complication rates are discussed, and plans are described for further analysis of the data.
D000328:Adult; D019723:Endoscopes; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010538:Peritonitis / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000209:etiology; D012189:Retrospective Studies; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000295:instrumentation*; D014595:Uterine Perforation / Q000209:etiology; D014599:Uterus