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Dislodged Essure microinsert.

Corenthian J Booker1, Robert L Yarwood, William C Dodson

  • 1Department of Obstetrics and Gynecology, Penn State College of Medicine, Hershey, Pennsylvania, USA.

Fertility and Sterility
|December 7, 2007
PubMed
Summary
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A dislodged Essure microinsert caused vaginal bleeding and pelvic pain after hysteroscopic sterilization. This case highlights potential complications of hysteroscopic sterilization devices.

Area of Science:

  • Gynecology
  • Reproductive Medicine
  • Minimally Invasive Surgery

Background:

  • Hysteroscopic sterilization is a minimally invasive procedure for permanent contraception.
  • Essure microinserts were commonly used for hysteroscopic sterilization.
  • Potential complications include device migration and associated symptoms.

Observation:

  • A patient experienced vaginal bleeding and pelvic pain post-procedure.
  • Imaging revealed a dislodged Essure microinsert within the pelvic cavity.
  • Both sonography and hysteroscopy confirmed the device's malposition.

Findings:

  • The dislodged Essure microinsert was identified as the cause of the patient's symptoms.
  • The device migration occurred shortly after hysteroscopic sterilization.

Related Experiment Videos

  • Imaging modalities effectively visualized the displaced device.
  • Implications:

    • This case underscores the importance of post-procedure monitoring for hysteroscopic sterilization.
    • Awareness of potential Essure microinsert migration is crucial for clinicians.
    • Further research may be needed to assess long-term risks and management strategies.