title: [Evaluation of satisfaction after hysteroscopic tubal ligation. About a study from the CHU of Besançon].
abstract: OBJECTIVE
  The Essure(®) system is a hysteroscopic sterilization method. The purpose of our study was to retrospectively evaluate the sterilization procedure with Essure(®) devices without anesthesia.
  
  
  METHODS
  The descriptive study included all tubal sterilizations with Essure(®) devices performed without anesthesia, with MEOPA, from January 1st, 2013 till February 28th, 2014 in the CHU of Besançon. The evaluation of the global satisfaction of the patients was collected by telephone survey.
  
  
  RESULTS
  A hundred and forty-three patients benefited from Essure(®) without anesthesia during the period of study in the CHU of Besançon and among them, 120 patients answered the telephone survey questionnaire. The average age was of 41.3 years. As regards the satisfaction and the tolerance, 89.2% of the patients declared to be globally satisfied by this procedure and 95.8% would recommend it to a friend. Indeed, 66.6% of the patients declared to have felt no pain or moderate pain. Furthermore, the MEOPA was well tolerated at 79.9% of the patients. As regards the procedure of Essure(®) inserts without anesthesia the rate of failure was 9.2% and at 3 months the radiological control was satisfactory in 94.5% of the patients.
  
  
  CONCLUSIONS
  The tubaire sterilization by implants Essure(®) is a fast and effective procedure. Our study shows, that at present, this technique can be realized without anesthesia, during a dedicated consultation, with an important rate of global satisfaction of the patients. It thus allows to decrease the number of hospitalization in ambulatory surgery and to decrease the cost of this intervention.
authors.affiliation: Pôle mère-femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: E
authors.initials: E
authors.lastname: Rufenacht
authors.affiliation: Pôle mère-femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: M
authors.initials: M
authors.lastname: Roesch
authors.affiliation: Pôle mère-femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: M
authors.initials: M
authors.lastname: Courjon
authors.affiliation: Pôle mère-femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: R
authors.initials: R
authors.lastname: Maillet
authors.affiliation: Pôle mère-femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France.
authors.forename: R
authors.initials: R
authors.lastname: Ramanah
authors.affiliation: Pôle mère-femme, CHRU de Besançon, 3, boulevard Fleming, 25000 Besançon, France. Electronic address: didier.riethmuller@univ-fcomte.fr.
authors.forename: D
authors.initials: D
authors.lastname: Riethmuller
mesh_terms: D000328:Adult; D005260:Female; D005602:France; D006801:Humans; D015907:Hysteroscopy; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013246:Sterilization, Tubal / Q000379:methods*
keywords: Anesthesia; Anesthésie; Essure(®); Female sterilization; Satisfaction; Stérilisation