Essure surgical removal and subsequent symptom resolution: Case series and follow-up survey

Luiz Gustavo O. Brito, Sarah L. Cohen, Emily R. Goggins, Karen C. Wang, Jon I. Einarsson

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)910-913
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Volume22
Issue number5
DOIs
StatePublished - 2015
Externally publishedYes

Keywords

  • Essure
  • Hysterectomy
  • Pelvic pain
  • Postoperative status
  • Salpingectomy
  • Survey

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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