Einstein (São Paulo) ()

Initial experience with hysteroscopic tubal occlusion (Essure®)

  • Daniella De Batista Depes,
  • Ana Maria Gomes Pereira,
  • Umberto Gazi Lippi,
  • João Alfredo Martins,
  • Reginaldo Guedes Coelho Lopes

DOI
https://doi.org/10.1590/S1679-45082016AO3717
Journal volume & issue
Vol. 14, no. 2
pp. 130 – 134

Abstract

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ABSTRACT Objective To evaluate results of early tubal occlusions performed by hysteroscopy (Essure®). Methods This prospective study included 38 patients, 73.7% of them were white, mean age 34.5 years, they have had on average 3 pregnancies and 2.7 of deliveries. A total of 86.8% of patients previously prepared the endometrium. All procedures were carried out at outpatient unit without anesthesia. Results Insertion rate of the device was 100% at a mean time of 4 minutes and 50 seconds. Based on the analogical visual scale, average pain reported was three, and 55.3% of women did not report pain after the procedure. After 3 months, 89.5% of patients were very satisfied with the method. Simple radiographs of the pelvis showed 92.1% of topical devices, and one case of unilateral expulsion had occurred. A four years follow-up did not show failure in the method. Conclusions Tubal occlusion through hysteroscopy at outpatient unit and without anesthesia was a quickly and well-tolerated procedure. No serious complications were seen, the success rate was high, and patients were satisfied.

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