II. Indications
- Permanent Contraception
III. Advantages
- Highly effective permanent Contraception
- Decreased risk of Pelvic Inflammatory Disease
- Decreased risk of Ovarian Cancer
IV. Disadvantages
- Surgical risk
- Ectopic Pregnancy risk (one third of pregnancies)
- No protection against Sexually Transmitted Disease
- Regret following sterilization (<10% undergo reversal)
- Reversal success rate : 47-90%
- Functional Ovarian Cyst risk increases (Odds Ratio 1.7)
V. Efficacy: Failure rate
- First year failure rate: 0.5%
- Overall cummulative 10 year failure rate: 1.85%
- Minilaparotomy 10 year cummulative failure rate: 2.01%
- Filshie clip 10 year cummulative failure rate: 0.5%
- Small study (n=200)
- Filshie (1998) ISGE 7th annual meeting, South Africa
VI. Complications: Acute short-term
- Overall rates
- Mortality: 1-2 per 100,000
- Major complications: <0.5% of procedures
- Trauma to contiguous organs (e.g. Bladder, bowel)
- Hemorrhage
- Anesthesia complications