The effect of menstrual phase and hormonal contraception on successful bilateral placement of the Essure micro-insert tubal coil

Background There is a growing body of literature on placement rates of the Essure® procedure, yet prior studies have not attempted to identify tubal-associated risk factors for placement failures. The current study examines risk markers associated with the inability to deploy the Essure® coils into the tubal lumen using the new ESS305 design. Study Design We used electronic medical record data to assess risk markers associated with the inability to place the Essure coils in the tubal lumen using the new ESS305 design. A total of 310 attempted procedures between June 14, 2007, and April 29, 2011 were analyzed. Results There were 18 tubal failures (5.8%) out of the 310 attempted procedures. A history of a prior sexually transmitted infection (STI) was associated with tubal failure (OR 2.64, 95% confidence interval (CI) 1.01–6.90; p=.048). Conclusions We speculate that the observed association between a prior STI and an inability to place the coil was due to a past history of pelvic inflammatory disease.

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Tubal risk markers for failure to place transcervical sterilization coils

Leyser‐Whalen

Rouhani

Rahman

et al. 2012

Contraception

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Effectiveness and feasibility of hysteroscopic sterilization techniques: a systematic review and meta-analysis

Chapelle

Veersema

Brölmann

et al. 2015

Fertility and Sterility

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A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt

Frietze

Leyser‐Whalen

Rahman

et al. 2015

Journal of Gynecologic Surgery

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Background: The EssureÒ (Bayer HealthCare Pharmaceuticals, Leverkusen, Germany) female sterilization procedure entails using a hysteroscope to guide a microinsert into the Fallopian tube openings. Failed placement can lead to patient dissatisfaction, repeat procedures, unintended or ectopic pregnancy, perforation of internal organs, or need for subsequent medical interventions. Additional interventions increase women's health risks, and costs for patients and the health care industry. Demonstrated successful placement rates are 63%-100%. To date, there have not been any systematic analyses of variables associated with placement rates. Objectives: The aims of this review were: (1) to estimate the average rate of successful bilateral Essure microinsert placement on first attempt; and (2) to identify variables associated with successful placement. Materials and Methods: A meta-analysis was conducted on 64 published studies and 19 variables. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, all published studies between November 2001 and February 2015 were reviewed. The studies were taken from from PubMed and Google Scholar, and by using the the ''snowball'' method that reported variables associated with successful bilateral Essure placement rates. Results: The weighted average rate of successful bilateral microinsert placement on first attempt was 92% (0.92 [95% confidence interval: 0.904-0.931]). Variables associated with successful placements were: (1) newer device models; (2) higher body mass index; and (3) a higher percent of patients who received local anesthesia. Conclusions: The data gathered for this review indicate that the highest bilateral success rates may be obtained by utilizing the newest Essure device model with local anesthesia in heavier patients. More standardized data reporting in published Essure studies is recommended. ( J GYNECOL SURG 31:308)

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The effect of menstrual phase and hormonal contraception on successful bilateral placement of the Essure micro-insert tubal coil

Abstract: The objective of this study was to determine the effect of menstrual phase and preoperative hormonal

Cited by 3 publications

References 17 publications

Tubal risk markers for failure to place transcervical sterilization coils

Tubal risk markers for failure to place transcervical sterilization coils

Effectiveness and feasibility of hysteroscopic sterilization techniques: a systematic review and meta-analysis

A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt

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The effect of menstrual phase and hormonal contraception on successful bilateral placement of the Essure micro-insert tubal coil

Abstract: The objective of this study was to determine the effect of menstrual phase and preoperative hormonal

Cited by 3 publications

References 17 publications

Tubal risk markers for failure to place transcervical sterilization coils

Tubal risk markers for failure to place transcervical sterilization coils

Effectiveness and feasibility of hysteroscopic sterilization techniques: a systematic review and meta-analysis

A Meta-Analysis of Bilateral Essure® Procedural Placement Success Rates on First Attempt

Contact Info

Product

Resources

About

A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt