Obstet Gynecol. 2008 Dec;112(6):1270-1277.


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A 12-Month Prospective Evaluation of Transcervical Sterilization Using Implantable Polymer Matrices.


Vancaillie TG, Anderson TL, Johns DA.



From the 1Department of Endo-Gynaecology, Royal Hospital for Women, Sydney, and University of New South Wales, New South Wales, Australia; 2Division of Gynecology and Gynecologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; and 3Texas Health Care, Fort Worth, Texas.


Objective:

To evaluate placement efficacy and reliability of a an intratubal occlusion device for permanent contraception and to assess tolerability and overall satisfaction.

Methods:

Seven hundred seventy women with known parity were recruited to participate in a prospective, multicenter study. Bipolar, low-level radiofrequency energy delivery and porous silicon inserts were used. Inserts were placed bilaterally in the fallopian tube lumen. Subsequent bilateral occlusion was assessed with hysterosalpingography.

Results:

Overall, bilateral placement success was achieved in 611 of 645 women (95%). Bilateral occlusion was confirmed in 570 of 645 (88.4%). The 1-year pregnancy prevention rate as derived with life-table methods was 98.9%. CONCLUSION:This transcervical sterilization system offers an effective contraceptive method, which was well tolerated and had a high satisfaction rate.


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