New Female Sterilization Technique Not Only Quicker And Easier For Patients, But CheaperROCHESTER, Minn. -- Mayo Clinic gynecologists have discovered that hysteroscopic sterilization, a new method of plugging the fallopian tubes to prevent conception, will save patients money compared to laparoscopic tubal ligation, the most commonly used method of sterilization for women.
This technique involves inserting a nickel-titanium and stainless steel springlike device into the fallopian tubes using a hysteroscope, a tiny, fiberoptic camera. The metal device encapsulates and holds in place white polyester fibers able to cause scarring and thus block the fallopian tubes within 12 weeks, preventing the possibility of future pregnancy. This method requires minimal sedation and no surgical incision, as the surgeon enters via the vagina. It also allows quick recovery.
"Patients love it," says Abimbola Famuyide, M.B.B.S., Mayo Clinic gynecologic surgeon, who conducted the cost-comparison study. "There are minimal side effects. Patients typically leave the hospital within an hour, and they are back to work the next day."
Dr. Famuyide and colleagues found that hysteroscopic sterilization costs patients approximately $500 less on their medical bills compared to the traditional method of female sterilization, laparoscopic tubal ligation, surgery requiring an abdominal incision with general anesthesia...cont'd
http://www.sciencedaily.com/releases/2004/11/041115003531.htm_________________________________________________________________
New Permanent Birth Control Option For Women Offers Less-invasive Alternative To Tubal LigationCouples looking for permanent contraception now have a new option other than tubal ligation or vasectomy. Doctors at the University of Maryland Medical Center are among the first in the area to offer Essure, a non-surgical procedure for women that involves placing small coils in the fallopian tubes. Over time, scar tissue develops around these coils, which blocks the fallopian tubes and prevents conception.
"This procedure will revolutionize permanent birth control because it is less invasive than tubal ligation or vasectomy," says Richard Marvel, M.D., a gynecologist at the University of Maryland Medical Center and an assistant professor of obstetrics, gynecology and reproductive sciences at the University of Maryland School of Medicine. "What's so exciting about this procedure is that you don't need to make any incision. After the procedure, patients can go home or even go back to work."
While a tubal ligation requires general anesthesia, the Essure procedure is done with local anesthetic. During the procedure, doctors use a thin, telescope-type instrument called a hysteroscope and insert it through the cervix to reach the fallopian tubes. A camera on the end of the scope allows them to see into the uterus. Doctors place a small, soft coil in the fallopian tube, where it expands and fills the tube. Doctors then move to the other side to place another coil in the other tube. The entire procedure takes less than 30 minutes.
While the procedure itself is quick, it takes longer for the scar tissue to develop and permanently block the tubes. Women must use another form of contraception for at least three months. They also need to return 12 weeks after the procedure to have a special x-ray to confirm that the tubes are closed...cont'd
URL:
http://www.sciencedaily.com/releases/2003/04/030421083818.htm