Analysis of pain and satisfaction with office-based hysteroscopic sterilization.
OBJECTIVE
To assess pain and patient satisfaction with office-based hysteroscopic sterilization.


METHODS
This prospective, observational study was designed to assess patient pain perception and satisfaction with office-based hysteroscopic sterilization using the Essure device (Conceptus, Mountain View, CA).


METHODS
Faculty practice office at an inner-city urban medical center.


METHODS
Women seeking hysteroscopic sterilization.


METHODS
Office hysteroscopic sterilization under local anesthesia.


METHODS
Pain assessed at the time of the procedure by a 0-10 visual scale and satisfaction by a 1-5 scale.


RESULTS
From June 2003 to June 2006, 209 patients were recruited. The mean scores for average procedural pain, most procedural pain, and average menstrual pain were 2.6+/-2.1, 3.3+/-2.5, and 3.6+/-2.6, respectively. Standardized pain scores revealed that 149 subjects (70%) experienced average pain that was less than or equal to the pain experienced with their menses. Mean satisfaction rating for the procedure was 4.7+/-0.71.


CONCLUSIONS
Office-based hysteroscopic sterilization performed with local anesthesia alone is well tolerated, and patients are satisfied with this method for permanent sterilization.
Levie
Mark
M
Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Weiss
Gil
G
Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Kaiser
Bente
B
Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Daif
Jennifer
J
Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Chudnoff
Scott G
SG
Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York. Electronic address: schudnof@montefiore.org.
D000328:Adult; D003274:Contraceptive Devices, Female / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000706:statistics & numerical data; D009819:Office Visits; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010465:Perception; D012107:Research Design; D013245:Sterilization, Reproductive / Q000009:adverse effects* / Q000379:methods* / Q000534:rehabilitation / Q000706:statistics & numerical data