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Computed tomographic confirmation of distally placed Essure* microinsert.

Andrea B Palmer1, John C Siegle

  • 1Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73190, USA. Andrea-Palmer@ouhsc.edu

Fertility and Sterility
|February 10, 2009
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Summary

Computed tomography (CT) reliably confirms Essure microinsert placement when hysteroscopy is unclear. This imaging technique is crucial for ensuring correct positioning and preventing complications in permanent sterilization.

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Area of Science:

  • Radiology
  • Gynecology

Background:

  • Permanent sterilization is a common choice for women desiring contraception.
  • The Essure microinsert is a hysteroscopically placed device for tubal occlusion.

Observation:

  • Hysteroscopic visualization failed to confirm intraluminal placement of the left Essure microinsert in one patient.
  • A computed tomography (CT) scan was performed to assess the placement of the device.

Findings:

  • The CT scan successfully confirmed intraluminal placement of the Essure microinsert within the fallopian tube.
  • CT imaging ruled out any risk of intraperitoneal placement or perforation.

Implications:

  • Computed tomography is a valuable tool for confirming Essure microinsert placement when hysteroscopy is inconclusive.
  • This imaging modality enhances the safety and reliability of the Essure procedure.
  • Further follow-up with hysterosalpingography is still necessary to confirm tissue ingrowth.