Essure Surgical Removal and Subsequent Symptom Resolution: Case Series and Follow-Up Survey

Author(s)

Brito, Luiz Gustavo O. ^[1] ; Cohen, Sarah L. ^[1] ; Goggins, Emily R. ^[1] ; Wang, Karen C. ^[1] ; Einarsson, Jon I. ^[1]

Affiliation

^[1] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Obstet & Gynecol, Boston, MA 02115 - USA

• Document type: Journal article
• Source: JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY; v. 22, n. 5, p. 910-913, JUL-AUG 2015.
• Web of Science Citations: 11

Abstract

Transcervical sterilization is a minimally invasive option for permanent contraception with high reported rates of patient satisfaction. A small percentage of women subsequently choose to have the tubal inserts removed due to regret or perceived side effects. There is limited information with regard to the improvement in the symptom profile following surgical removal of the tubal inserts. We present a retrospective case series of 11 women who underwent surgical removal of Essure by hysteroscopy, salpingectomy, and/or hysterectomy. The predominant symptom at presentation was pain (n = 10; 90.91%), as well as bleeding (n = 6; 54.54%) and/or dyspareunia (n = 5; 45.45%). After surgical removal, the majority of patients (n = 8; 72.72%) reported an improvement of their symptoms. However, 3 (27.27%) patients continued to have persistent symptoms after surgery. Before surgical removal of Essure, it is important to thoroughly discuss the risk of continuing symptoms with patients. (C) 2015 AAGL. All rights reserved. (AU)

• FAPESP's process: 13/25956-0 - Subtotal laparoscopic hysterectomy x total laparoscopic hysterectomy for imediate and late postoperative outcomes: a randomized controlled trial
• Grantee: Luiz Gustavo Oliveira Brito
• Support Opportunities: Scholarships abroad - Research