Office hysteroscopic sterilization compared with laparoscopic sterilization: A critical cost analysis.

Abstract: Study objective: To evaluate the actual cost difference in performing Essure hysteroscopic sterilization in the office compared with ambulatory surgery using laparoscopic sterilization in the operating room. Design: Cost-comparison analysis (Canadian Task Force classification III). Setting: University hospital and affiliated outpatient office. Interventions: Hysteroscopic placement of Essure device in an office setting and laparoscopic tubal ligation for permanent sterilization. Measurements and main results: The various costs associated with the two procedures at our institution were compiled, and a direct cost comparison was made. We used actual institutional costs of the procedures, not billing or reimbursement. We found laparoscopic tubal ligations to cost $3449 compared with hysteroscopic placement of the Essure device that costs $1374 yielding a $2075 difference between the procedures. Conclusion: In our institution and in our experience, office-hysteroscopic placement of the Essure device is a more cost-effective method than laparoscopic tubal ligation. [Copyright &y& Elsevier]