Association of Hysteroscopic vs Laparoscopic Sterilization With Procedural, Gynecological, and Medical Outcomes EDITORIAL COMMENT

摘要

The main types of female sterilization in developed countries are laparoscopic and hysteroscopic sterilization. Approximately 1 million women worldwide have undergone the hysteroscopic procedure. In 2015, the safety of hysteroscopic sterilization was questioned following complaints reported to the US Food and Drug Administration (FDA) by a large number of women who had received hysteroscopic sterilization. Complaints reported included adverse gynecological results such as pelvic pain, perforation of fallopian tubes or uterus, and unwanted pregnancy in addition to general symptoms such as allergy, tiredness, and depression. Similar adverse events were also reported in France-the country with the second largest number of women using this method after the United States-and other countries. As a consequence of these safety concerns, 4 recent studies compared procedural and gynecological outcomes between hysteroscopic and laparoscopic sterilization; however, none of these examined nongynecological outcomes.