Radiofrequency global endometrial ablation followed by hysteroscopic sterilization.

Abstract:

STUDY OBJECTIVE:To describe the feasibility of performing Essure hysteroscopic sterilization immediately after NovaSure global endometrial ablation (GEA). DESIGN:Descriptive feasibility study (Canadian Task Force classification III). SETTING:Midwestern United States academic medical center. PATIENTS:Twenty-five women (aged 35-49 years) with menorrhagia who elected GEA treatment and requested concurrent permanent sterilization. INTERVENTIONS:NovaSure GEA followed immediately by Essure hysteroscopic sterilization. Patients returned 3 months after the procedure for hysterosalpingography (HSG) to document tubal occlusion. MEASUREMENTS AND MAIN RESULTS:The inserts were placed successfully in all 25 patients; 21 returned for 3-month follow-up HSG, as recommended. Bilateral tubal occlusion was documented at 3 months in 19 patients (90%) and unilateral occlusion in 2 patients. Six-month postprocedural HSG in these 2 patients documented bilateral tubal occlusion. Hysterosalpingography was not performed in 4 patients. In all 21 patients with appropriate follow-up, complete occlusion was documented, and the ability to perform or interpret HSG was not affected by endometrial ablation. CONCLUSION:Essure hysteroscopic sterilization can be safely performed after NovaSure GEA. Intrauterine synechiae do not appear to adversely affect the ability to perform HSG at 3 months or to document tubal occlusion.

authors

Hopkins MR,Creedon DJ,El-Nashar SA,Brown DL,Good AE,Famuyide AO

doi

10.1016/j.jmig.2007.01.014

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

494-501

issue

4

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(07)00118-5

journal_volume

14

pub_type

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