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Algorithm of Transvaginal Ultrasound and/or Hysterosalpingogram for Confirmation Testing at 3 Months after Essure Placement.

Journal of minimally invasive gynecology·2017

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Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach

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Contrast infusion sonography in the post-Essure setting.

Viviane Connor¹

¹Section of Minimally Invasive Gynecology, Cleveland Clinic Florida, Weston, Florida 33331, USA. connorv@ccf.org

Journal of Minimally Invasive Gynecology

|February 12, 2008

Summary

Contrast infusion sonography (CIS) is as accurate as hysterosalpingogram (HSG) for confirming Essure placement. This in-office ultrasound test offers a more comfortable and convenient alternative for patients.

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Area of Science:

Gynecology
Reproductive Medicine
Medical Imaging

Background:

Essure is a permanent sterilization device requiring confirmation of placement.
Hysterosalpingogram (HSG) is the traditional method for post-placement confirmation.
There is a need for convenient and comfortable in-office confirmation tests.

Purpose of the Study:

To compare the accuracy of contrast infusion sonography (CIS) with hysterosalpingogram (HSG).
To evaluate CIS as a 3-month confirmation test after Essure placement.
To assess patient preference and comfort for in-office testing.

Main Methods:

A pilot study was conducted with 17 women who had successful bilateral Essure placement.
Contrast infusion sonography (CIS) was performed, immediately followed by hysterosalpingogram (HSG).
Tests were conducted between 1 and 12 weeks after Essure placement.

Main Results:

CIS accurately identified microinsert location and assessed tubal patency, comparable to HSG.
Tubal occlusion was confirmed by both methods in 82% of patients by 12 weeks.
Patients preferred the in-office CIS procedure over traditional HSG.

Conclusions:

Contrast infusion sonography (CIS) is a safe, accurate, and convenient alternative to HSG for post-Essure confirmation.
In-office ultrasound testing offers improved patient comfort and preference.
A high rate of tubal occlusion was observed early after Essure placement.