Hysteroscopic sterilisation: a study of women's attitudes to a novel procedure


Mr S. Duffy, University Department of Obstetrics and Gynaecology, Level 9 Gledhow Wing, St James's University Hospital, Beckett Street, Leeds, Yorkshire, UK.


Laparoscopy is the most common mode of surgery for female tubal sterilisation. Hysteroscopic sterilisation is a new method which can be performed in the outpatient setting under local anaesthetic. We carried out a prospective cohort trial to determine whether women would actually favour hysteroscopic sterilisation over laparoscopic sterilisation. Data analysis in a cohort of 96 women showed that 77% would prefer laparoscopic sterilisation over the hysteroscopic procedure (23%), despite the advantages of an outpatient setting. Age, obstetric history, employment and marital status, access to transport and previous anaesthetic did not significantly influence the choice made.