Hysteroscopic fallopian tube sterilization procedure: feasibility and one-year follow-up

Gynécologie, obstétrique & fertilité
Edouard GibonH-J Philippe

Abstract

Hysteroscopic flexible micro-insert (Essure) is an ambulatory improvement of fallopian tube sterilization, which is a deliberated suppression of fertility. The aim of this study was an evaluation of feasibility (learning curve) and the first year outcome of this method. This prospective study, carried out between February 2002 and March 2003, included patients who were matching with manufacturer recommendations. One surgeon only realized all the device placements. Fifty patients were included (one year follow-up). Mean age was 41 (+/-3.3), mean parity was 2.7 (+/-0.8). Mean time needed for device placement was 26 minutes (+/-6.5) and was reduced with increased experience. Six failures of placement (12%) were related, because of submucus leiomyomas, proximal tubal stenotic disease or too retroverted uterus. Only 5 patients (11,4%) described intensive pelvic pain during the placement. The only case of device expulsion benefited from a successful second placement. The one-year follow-up showed no significant difference of body weight increasing, duration or quantity of menstruation, neither significant pelvic pain nor vaginal bleeding. Tolerance was rated at least at "somewhat satisfied". There have been no pregnancies reported in...Continue Reading

References

Nov 13, 2001·Fertility and Sterility·R F ValleUNKNOWN STOP Prehysterectomy Investigation Group
Jan 15, 2002·The Australian & New Zealand Journal of Obstetrics & Gynaecology·J F KerinD Cher
May 30, 2003·Human Reproduction·John F KerinCharles S Carignan
Jul 10, 2003·Obstetrics and Gynecology·Jay M CooperUNKNOWN Selective Tubal Occlusion Procedure 2000 Investigators Group
Jul 9, 2004·Fertility and Sterility·Alicia UbedaSantiago Dexeus
Nov 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·John F KerinDavid Rosen
Feb 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·N BaxterS Duffy
Jul 23, 2005·Journal of Minimally Invasive Gynecology·Mark D Levie, Scott G Chudnoff

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Citations

Dec 4, 2015·Journal of Gynecologic Surgery·Gabriel FrietzeAbbey B Berenson
Sep 8, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Patrice LopesHenri Jean Philippe

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