- Laparoscopic sterilisation using Filshie clips is a standard practice for female sterilisation in the UK along with an increasing number of bilateral salpingectomies due to the reduction in ovarian cancer risk
- There are many methods of hysteroscopic sterilisation available but Essure was the most commonly used until it was removed from UK practice
- Hysteroscopic sterilisation requires experienced and well trained clinicians with thorough knowledge of the equipment.
- The ideal transcervical sterilisation method should be safe, easy to perform, done as outpatient procedure, effective and reversible.
Hurskainen R, Hovi SL, Gissler M, Grahn R, Kukkonen-Harjula K, Nord-Saari M, et al. Hysteroscopic tubal sterilization: a systematic review of the Essure system. Fertil Steril 2010;94:16-9 [Abstract].