Essure® Tubal Sterilization Combined with Subsequent NovaSure® Endometrial Ablation: A Retrospective Analysis

Basinski, Cindy M.; Price, P.C.

doi:10.1016/j.jmig.2009.08.227

Cited by 1 publication

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“…Almost no distension of the uterine cavity by the contrast medium. c HSG 3 months after the combined procedure with almost no filling of the uterine cavity sterilization turned out to be safe and well tolerated [19]. In a perihysterectomy safety study, GEA after Essure® sterilization was found to cause no thermal serosal injury.…”

Section: Correct Localization (N = 24)mentioning

confidence: 91%

Combining NovaSure® endometrial ablation and Essure® hysteroscopic sterilization: a feasibility study to evaluate the confirmation tests

2010

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Since NovaSure® endometrial ablation (GEA) is not reliable as contraception, a reliable permanent contraceptive method which can be offered during the same operative session is often preferred by patients. We present a series of 24 patients treated by NovaSure® GEA followed by Essure® hysteroscopic sterilization at the same session. Bilateral placement of the micro-inserts after GEA was successful in all 24 patients. Confirmation by ultrasound and plain X-ray of the pelvis indicated a correct position in all 48 tubes. Routine follow-up by hysterosalpingography (HSG) to document bilateral tubal occlusion was only possible in 17/23 (74%) patients; these 34 tubes were blocked. In 6/23 (26%) patients, tubal occlusion could not be determined by HSG because of minimal filling of the uterine cavity with contrast medium. The latter was caused by severe uterine synechiae. All patients were satisfied with the result of GEA at 3 months; 19 women (83%) reported amenorrhea and the others, a strong reduction in menstrual blood loss. The combination of Essure® hysteroscopic sterilization and NovaSure® GEA is feasible and safe. However, after this combined approach the HSG as confirmation test is not always useful because of severe synechiae.

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Section: Correct Localization (N = 24)mentioning

confidence: 91%