caa a22 4500 44536338X CHVBK 20180317142922.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10397-010-0625-9 doi (NATIONALLICENCE)springer-10.1007/s10397-010-0625-9 Combining NovaSure® endometrial ablation and Essure® hysteroscopic sterilization: a feasibility study to evaluate the confirmation tests [Elektronische Daten] [R. Detollenaere, M. Vleugels, H. van Eijndhoven] Since NovaSure® endometrial ablation (GEA) is not reliable as contraception, a reliable permanent contraceptive method which can be offered during the same operative session is often preferred by patients. We present a series of 24 patients treated by NovaSure® GEA followed by Essure® hysteroscopic sterilization at the same session. Bilateral placement of the micro-inserts after GEA was successful in all 24 patients. Confirmation by ultrasound and plain X-ray of the pelvis indicated a correct position in all 48 tubes. Routine follow-up by hysterosalpingography (HSG) to document bilateral tubal occlusion was only possible in 17/23 (74%) patients; these 34 tubes were blocked. In 6/23 (26%) patients, tubal occlusion could not be determined by HSG because of minimal filling of the uterine cavity with contrast medium. The latter was caused by severe uterine synechiae. All patients were satisfied with the result of GEA at 3months; 19 women (83%) reported amenorrhea and the others, a strong reduction in menstrual blood loss. The combination of Essure® hysteroscopic sterilization and NovaSure® GEA is feasible and safe. However, after this combined approach the HSG as confirmation test is not always useful because of severe synechiae. Springer-Verlag, 2010 Endometrial ablation nationallicence NovaSure® nationallicence Hysteroscopic sterilization nationallicence Essure® nationallicence Hysterosalpingography nationallicence Detollenaere R. Isala klinieken, P.O. Box10400, 8000 GK, Zwolle, The Netherlands aut Vleugels M. Rivierenland hospital, Tiel, The Netherlands aut van Eijndhoven H. Isala klinieken, P.O. Box10400, 8000 GK, Zwolle, The Netherlands aut Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 59-63 1613-2076 8:1<59 2011 8 10397 https://doi.org/10.1007/s10397-010-0625-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-010-0625-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Detollenaere R. Isala klinieken, P.O. Box10400, 8000 GK, Zwolle, The Netherlands aut NATIONALLICENCE 700 1- Vleugels M. Rivierenland hospital, Tiel, The Netherlands aut NATIONALLICENCE 700 1- van Eijndhoven H. Isala klinieken, P.O. Box10400, 8000 GK, Zwolle, The Netherlands aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 59-63 1613-2076 8:1<59 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer