Safety and patients' satisfaction after hysteroscopic sterilisation

Area of Science:

• Reproductive Health
• Medical Devices
• Gynecology

Background:

• Limited international research exists on the Essure device, its complications, and patient satisfaction.
• Existing literature includes few studies focusing on Essure complications and satisfaction combined.

Purpose of the Study:

• To assess potential complications associated with the Essure device.
• To identify factors influencing the onset of complications.
• To evaluate patient satisfaction with the Essure device.

Main Methods:

• A 9-year descriptive prospective study.
• Inclusion of 1068 patients undergoing Essure insertion.
• Data collection on pain, adverse effects, and satisfaction scores.

Main Results:

• Essure device successfully placed in 98.8% of patients.
• 894 patients experienced no or mild pain during insertion; only 12 reported severe pain.
• 161 patients (15.1%) reported adverse effects within 3 months post-insertion.
• High patient satisfaction with a mean score of 9.06/10.
• NSAID use correlated with reduced severe pain during insertion.

Conclusions:

• The Essure device exhibits a low rate of complications, which are typically mild and transient.
• Patients report a high degree of satisfaction with the Essure device.
• Further long-term follow-up studies are recommended due to limited existing research.