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Essure: a new device for hysteroscopic tubal sterilization in an outpatient setting
Alicia Ubeda1, Ramón Labastida, Santiago Dexeus
1Department of Obstetrics and Gynecology, Institut Universitari Dexeus, Barcelona, Spain. aliube@dexeus.com
Objective:
To evaluate the results of hysteroscopic placement of an intratubal device for permanent birth control in 85 women in an outpatient setting.
Design:
Prospective, observational study.
Setting:
Private university hospital.
Patient(S):
Eighty-five premenopausal women who asked for tubal sterilization by hysteroscopy between July 2002 and July 2003.
Intervention(S):
Hysteroscopic placement of titanium-dacron intratubal devices in an outpatient setting.
Main Outcome Measure(S):
Procedure feasibility without anesthesia, success rate of device implantation, patient satisfaction, and confirmation of correct placement.
Result(S):
Successful placement was achieved in 81 patients (95%). Mean time elapsed between the start of hysteroscopy, placement of devices, and removal of optics was 9 minutes (range, 1-35 minutes). No intraoperative or postoperative complications were detected. Of 81 patients, 75 (93%) had abdominal x-ray performed at the third month; bilateral correct placement was confirmed in all of them.
Conclusion(S):
Essure is a safe, effective, and minimally aggressive procedure with satisfactory patient acceptance that does not require anesthesia or hospitalization. It seems to be a good alternative to laparoscopic tubal sterilization.
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