Abstract
OBJECTIVE: To determine the Essure placement failure rate and analyze factors associated with failure in an urban, nonstudy population at a university medical center. STUDY DESIGN: A retro-spective study was conduct-ed of women who underwent attempted Essure hystero-scopic sterilization at the De-troit Medical Center (DMC) from January 1, 2003, to June 30, 2007. RESULTS: There were 316 Essure procedures attempted at the DMC from January 2003 through June 2007. Of the 316 attempted proce-dures, there were 22 device placement failures and 3 doc-umented post-Essure pregnancies. Of the 22 placement failures, 11 were attributed to difficulty visualizing the tubal ostia. Other causes of failure included device mal-function, uterine perforation, tubal perforation, expul-sion of the device, tubal spasm, tubal ostia too large for the device and unspecified. Difficulty visualizing the ostia (p < 0.001) and a longer procedure time (p=0.008) were significantly associated with failure. CONCLUSION: The rate of successful placement of the Essure permanent birth control device at the DMC is 92.1%, with a post-Essure pregnancy rate of 0.95%. The majority of placement failures may be attributed to diffi-culty visualizing the tubal ostia. (J Reprod Med 2009; 54:218-222).
Original language | English (US) |
---|---|
Pages (from-to) | 218-222 |
Number of pages | 5 |
Journal | Journal of Reproductive Medicine for the Obstetrician and Gynecologist |
Volume | 54 |
Issue number | 4 |
State | Published - 2009 |
Externally published | Yes |
Keywords
- Essure
- Hysteroscopic sterilization
- Pregnancy
- Tubal occlusion
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology