Ultrasound detection of the Essure permanent birth control device: A case series

Teoh, Mark; Meagher, Simon; Kovàcs, Gabór

doi:10.1046/j.0004-8666.2003.00102.x

Cited by 40 publications

(27 citation statements)

References 4 publications

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“…4 HSG was reserved only for women with incorrect insertion or remaining uncertainty following plain radiological imaging. More recently, the placement of Essure has assessed using pelvic ultrasonography 5 and with an abdominal approach most of the devices can be adequately imaged. 6 Future research may confirm that ultrasonography is an acceptable alternativeto determine the correct placement of Essure TM device.…”

Section: Discussionmentioning

confidence: 99%

Success rate and patient satisfaction with the Essure™ sterilisation in an outpatient setting: a prospective study of 857 women

Miño

Arjona

Cordón

et al. 2007

BJOG

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After 857 women with Essure system inserted for tubal obstruction as a method of sterilization in an outpatient setting, insertion is achieved in close to 99% of the women. Physician described the procedure as very difficult in 15% of the cases, mainly due to anatomical tubal anomalis or tubal spasm, and women felt highly satisfied in all cases.Keywords Essure, female sterilization, hysteroscopy, satisfaction.Please cite this paper as: Miño M, Arjona J, Cordó n J, Pelegrin B, Povedano B, Chacon E. Success rate and patient satisfaction with the Essure TM sterilisation in an outpatient setting: a prospective study of 857 women. BJOG 2007;114: 763-766.

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Section: Discussionmentioning

confidence: 99%

Success rate and patient satisfaction with the Essure™ sterilisation in an outpatient setting: a prospective study of 857 women

Miño

Arjona

Cordón

et al. 2007

BJOG

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“…Transvaginal ultrasound (TVU) examination has proved to be an adequate method to confirm the microinsert position at follow-up (5)(6)(7)(8). When ultrasound examination is inconclusive or an undesirable position of an insert is suspected, a hysterosalpingography (HSG) can be performed (8).…”

mentioning

confidence: 99%

Incorrect position of Essure microinserts 3 months after successful bilateral placement

Gerritse

Veersema

Timmermans

et al. 2009

Fertility and Sterility

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“…We conclude that HSG is required only in unsatisfactory placements or special cases. The next step will be to replace the 3-month pelvic radiography with an earlier pelvic ultrasound to demonstrate the correct location of the microinserts to alleviate patient anxiety or diagnose malposition early as other authors propose [8]. Routine HSG can thus be avoided in most patients, along with its unnecessary risks, costs, inconvenience, and discomfort.…”

Section: Resultsmentioning

confidence: 94%

Radiological control of Essure placements

et al. 2004

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Essure is a microinsert placed bilaterally into fallopian tube lumens under hysteroscopic visualization in patients seeking permanent contraception. Our multicenter clinical trial begun in 1998 required hysterosalpingography (HSG) be performed 3 months after placement to confirm tubal occlusion. The patency rate in satisfactorily placed devices was 4%. All of these underwent a repeat HSG 3-4 months later (due to a patency finding at the previous test). We present the results of our clinical use in patients out of the clinical trial. Of 78 insertions 65 (83.3%) were considered satisfactory, and the patients underwent pelvic radiography after 3 months. Only one patient had an abnormal radiograph, and an HSG was performed confirming bilateral tubal occlusion. In 12 patients (15.4%) the placement was considered unsatisfactory and underwent HSG. Ten confirmed bilateral tubal occlusion, and two had tubal patency. Therefore we repeated HSG 3 months later. We verified tubal occlusion in one patient and unilateral tubal patency in the other. In one patient with a satisfactory placement we performed an HSG that corroborated tubal occlusion. No pregnancies have been reported so far. Therefore we consider tubal occlusion successful in all the satisfactory microinsert placements (83.3%) after 3 months, performing only pelvic radiography. Additional HSG is required in the remaining 17% due to an unsatisfactory placement. Of these, 83% will be occluded after 3 months, increasing the rate to 91.6% after 6 months. These findings show that it is not necessary to conduct HSG when the bilateral placement is satisfactory and can be replaced by pelvic radiography at 3 months to confirm microinsert retention and location. HSG, with its unnecessary risks, costs, inconvenience and discomfort, can thus be avoided in many patients.

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Ultrasound detection of the Essure permanent birth control device: A case series

Abstract: Ultrasound appears to be well suited for micro-insert localisation. An early post insertion ultrasound scan is recommended to reassure about correct positioning of device and may potentially alleviate patient anxiety, or diagnose malposition early.

Cited by 40 publications

References 4 publications

Success rate and patient satisfaction with the Essure™ sterilisation in an outpatient setting: a prospective study of 857 women

Success rate and patient satisfaction with the Essure™ sterilisation in an outpatient setting: a prospective study of 857 women

Incorrect position of Essure microinserts 3 months after successful bilateral placement

Radiological control of Essure placements

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