Is insertion under local anaesthetic of temporary electrodes for sacral nerve stimulation testing reliable and cost effective?
Similar success rates for temporary trial with SNS can be achieved with LA and GA. Insertion under LA is associated with reduced cost, shorter hospital stay and quicker recovery, and it avoids the risk of general anaesthesia.
Outpatient hysteroscopy was demonstrated to be safe, effective and acceptable to women. Provision of an outpatient hysteroscopy service saves theatre time and approximately $1000 per case. Improved techniques and technology will allow progression to a 'see and treat' service, providing further savings. With budget constraints, increasing wait times for major procedures and concerns about trainee surgical experience, an outpatient hysteroscopy service should be considered the 'gold standard' investigation over hysteroscopy in theatre.