Clinical experience with contrast infusion sonography as an Essure confirmation test

Area of Science:

• Reproductive medicine
• Diagnostic imaging
• Gynecological procedures

Background:

• Essure is a permanent birth control device requiring confirmation of placement.
• Traditional confirmation methods like hysterosalpingography can be invasive.
• There is a need for safe and effective confirmation tests for Essure placement.

Purpose of the Study:

• To evaluate contrast infusion sonography as a confirmation test for Essure.
• To assess the feasibility, safety, compliance, and efficacy of this sonographic method.
• To determine patient acceptance of contrast infusion sonography for Essure confirmation.

Main Methods:

• Retrospective chart review and telephone survey of women who underwent Essure placement.
• Analysis of contrast infusion sonography, transvaginal sonography, and hysterosalpingography results.
• Assessment of feasibility, safety, compliance, and efficacy outcomes.

Main Results:

• Contrast infusion sonography was feasible in 95.2% of patients.
• High accuracy was observed, with 84.1% showing proper placement and tubal occlusion.
• No significant adverse events were reported, and the overall compliance rate was 86%.

Conclusions:

• Contrast infusion sonography is a feasible, safe, and accurate method for Essure confirmation.
• The procedure is well-accepted by patients.
• It offers a reliable alternative for verifying Essure placement.