Essure hysteroscopic tubal occlusion device for the treatment of hydrosalpinx prior to in vitro fertilization-embryo transfer in patients with a contraindication for laparoscopy.

Abstract:

OBJECTIVE:To investigate the success rate of proximal tubal occlusion with Essure devices in subfertile women with hydrosalpinges, and to observe the results of subsequent treatment with IVF. DESIGN:Prospective, single-arm, clinical study. SETTING:University hospital and teaching hospital. PATIENT(S):Ten women with uni- or bilateral hydrosalpinges prior to IVF. In all patients laparoscopy was felt to be contraindicated. INTERVENTION(S):Hysteroscopic placement of Essure devices in an office setting. MAIN OUTCOME MEASURE(S):Placement rate, successful proximal tubal occlusion, and pregnancy rate after IVF. RESULT(S):All patients had successful placement of the Essure devices without any complications. Proximal tubal occlusion was confirmed by hysterosalpingography in 9 out of 10 patients. A 40% ongoing pregnancy rate was achieved with 20% life births after one IVF cycle and/or frozen embryo transfer. CONCLUSION(S):Proximal occlusion of hydrosalpinges with Essure devices before IVF is a successful treatment for patients with a contraindication for salpingectomy.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Mijatovic V,Veersema S,Emanuel MH,Schats R,Hompes PG

doi

10.1016/j.fertnstert.2008.11.022

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

1338-42

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(08)04586-X

journal_volume

93

pub_type

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