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Essure Hysteroscopic Sterilization Versus Interval Laparoscopic Bilateral Tubal Ligation: A Comparative Effectiveness Review
March 2015
March 2015
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Abstract
A comparative effectiveness analysis was performed to examine the risks and benefits
of laparoscopic bilateral tubal ligation compared with hysteroscopic sterilization
using the Essure Permanent Birth Control System (Bayer HealthCare AG, Whippany, NJ).
Existing evidence shows that both LBTL and Essure are safe and effective methods of
female sterilization. Both have high rates of efficacy and low rates of complications
although when complications do occur, those related to the Essure procedure are more
likely to be minor in nature. The analysis was limited by the restricted number of
studies involving head-to-head comparisons of the 2 approaches.
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