Analysis of pain and satisfaction with office-based hysteroscopic sterilization
Levie, M.; Weiss, G.; Kaiser, B.; Daif, J.; Chudnoff, S.G.
Fertility and Sterility 94(4): 1189-1194
2010
ISSN/ISBN: 0015-0282 PMID: 19683232 DOI: 10.1016/j.fertnstert.2009.07.994Document Number: 207180
To assess pain and patient satisfaction with office-based hysteroscopic sterilization. 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). Faculty practice office at an inner-city urban medical center. Women seeking hysteroscopic sterilization. Office hysteroscopic sterilization under local anesthesia. Pain assessed at the time of the procedure by a 0-10 visual scale and satisfaction by a 1-5 scale. 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. Office-based hysteroscopic sterilization performed with local anesthesia alone is well tolerated, and patients are satisfied with this method for permanent sterilization.
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