Essure transcervical tubal sterilization: a 5-year x-ray follow up

One‐step transvaginal three‐dimensional hysterosalpingo‐foam sonography (3D‐HyFoSy) confirmation test for Essure® follow‐up: a multicenter study

“…The failure rates with hysteroscopic sterilization are often given after ideal placement and follow-up. The rates may be higher with less experienced surgeons, an absence of backup birth control and the loss of women to follow-up [13][14][15][16][17][18][19][20][21][22][23][24][25][26] .…”

Evaluation of tubal microinserts position using 3D ultrasound and pelvic X-ray

“…In addition, pelvic X-ray clearly demonstrates the devices and the potential complications such as detachment or fracture of the device. In this regard, Franchini et al showed stable position of microinsert on pelvic X-ray at 3 months and 5 years [29]. However, others authors have reported low degrees of reproducibility for pelvic X-rays [32].…”

“…This technique requires an evaluation of the microinsert position three months after the procedure [6,12]. Indeed the fibrotic reaction leading to tubal occlusion and permanent sterilization [29] is only possible if the coils are in the interstitial portion of the fallopian tubes [12].…”

Improving Adherence to Hysterosalpingography After Hysteroscopic Sterilization Using an Electronic Reminder

“…Permanent sterilization methods prevent pregnancy by disrupting fallopian tube patency and include techniques that involve surgical cutting, mechanical blockage, electrical coagulation, or blocking fallopian tubes with microinserts that induce fibrosis [2]. The Essure system (Bayer Healthcare, Whippany, NJ) uses microinserts that are hysteroscopically placed into the proximal portions of each fallopian tube where they induce fibrotic tubal occlusion [3,4]. According to US package labeling, a patient cannot rely on the Essure system for contraception until the confirmatory hysterosalpingogram (HSG) shows proper microinsert placement and bilateral tubal occlusion [5,6].…”