Hysteroscopic hydrosalpinx occlusion with Essure device in IVF patients when salpingectomy or laparoscopy is contraindicated

Ultrasound Assessment of the Essure Contraceptive Devices: Is Three-Dimensional Ultrasound Really Needed?

“…HSG was performed in all patients and confirmed tubal occlusion in all but 1 patient with a monolateral hydrosalpinx who was eligible for in vitro fertilization, and a tubal dilatation was likely the reason for the tubal occlusion [17][18][19]. The position of this device was unsatisfactory at 2DUS according to the classification of Veersema, and inadequate at 3DUS according to the Legendre classification.…”

“…Use of Essure microinserts for therapeutic purposes (e.g., presence of hydrosalpinx or sactosalpinx) is largely supported by international literature and advocated by scientific societies as a safe, effective, and minimally invasive alternative to salpingectomy, whereas laparoscopic treatment is contraindicated [17][18][19][22][23][24][25].…”

Proximal occlusion of hydrosalpinges by Essure® before assisted reproduction techniques: a French survey

“…Nonetheless their efficacy remains unproved, due to the small number of studies, often retrospective and small. Placement of Essure 1 microinserts before ART is currently the alternative that has shown best results, since seven studies have been reported, all concluding favourably [11][12][13][14][15][16][17]. Transvaginal aspiration of the hydrosalpinx on the day of the oocyte retrieval remains a controversial option because the fluid accumulation is known to reconstitute within several hours [23].…”

“…The surgical risk during laparoscopy, especially for women with major pelvic adhesions, has led some surgeons to use Essure 1 for hysteroscopic tubal occlusion, an off-label use different from its primary purpose of tubal sterilisation. Currently, seven small studies [11][12][13][14], including prospective randomised trials [15,16] and a controlled study [17], have produced fairly positive results. We sought to assess the feasibility and short-and intermediateterm results of this practice in a nationwide enquiry.…”

Ovarian reserve after preventive salpingectomy

“…В литературе представлены исследования, опи-сывающие отрицательное воздействие СЭ на овари-альный резерв [9][10][11][12][13][14][15][16], косвенные доказательства снижения функции яичников [17] и данные об от-сутствии влияния операции на женские гонады [8,[18][19][20][21][22].…”