Long-term patient satisfaction and removal rate after Essure sterilization: a follow-up study

Abstract

Background: The objective of our study was to assess the rate and causes for Essure® micro-insert system removal and patients’ long term satisfaction rate with the procedure.Methods: All patients who underwent Essure® hysteroscopic sterilization at our tertiary centre between years 2007 and 2018 were included in this follow-up study. A questionnaire was sent to all patients per standard mail. Patients who did not respond to questionnaires per mail, were called by phone. The satisfaction with the Essure® sterilization, as well as any additional procedures after the insertion or insertion-related complications were analysed. Results: From the year 2007 to 2018, we performed 427 Essure® hysteroscopic sterilizations and of these, 329 patients responded to the questionnaire (response rate 77%). Ten patients (3%) had Essure® removal, two of them due to pain (0.6%). Patients were very satisfied with the procedure (9.5 on scale 0 – 10). Most patients (95.3%) would recommend the procedure to their friend.Conclusions: The rate of the Essure® micro-insert system removal due to sterilization-related complications is very low. Essure® hysteroscopic sterilization is a safe and effective procedure with a very high satisfaction rate.Trial registration: Institutional review board approval was obtained for the study, approval number UKC-MB-KME-73/19.