caa a22 4500 445363495 CHVBK 20180317142922.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10397-010-0615-y doi (NATIONALLICENCE)springer-10.1007/s10397-010-0615-y Hysteroscopic sterilization with Essure® device in situ: a challenge? [Elektronische Daten] [Michel Vleugels, Sergine Heckel, Sebastian Veersema, Jean Engrand, Vincent Villefranque, Hervé Fernandez, Pierre Panel] Hysteroscopic sterilization through the Essure® method is preferably performed in the outpatient department without any form of anesthesia. This approach requires the hysteroscopic skills of the gynecologist to use the vaginoscopic route. Initially, the manufacturer advised to remove any type of intrauterine device (IUD), 1month before the procedure, to prevent difficult procedures and also to increase the success rate of placement. This observational prospective study analyzed the outcome in women in where the IUD was left in the uterus during the sterilization. During a period of 2years, all women have been included consecutively in seven public hospitals located in France and the Netherlands. During this procedure, 32 out of 239 IUDs had to be removed to finish the sterilization successfully. The placement success rate was 97%. Placement failures were not related to the IUD being present at the time of the procedure. At confirmation tests 3months after insertion of the Essure®, only five tubes were still patent. No complications were registered. Pain was recorded, and women responded well on oral nonsteroidal anti-inflammatory drug medication. The IUD did not need to be removed before the start of the hysteroscopic sterilization; only in case the procedure could not be completed, the IUD had to be removed during the sterilization itself. Placement rate was 97.1%. Springer-Verlag, 2010 Essure nationallicence IUD nationallicence Sterilization nationallicence Vleugels Michel Rivierenland Hospital, Tiel, Netherlands aut Heckel Sergine Centre Hospitalier St. Joseph St. Luc, Lyon, France aut Veersema Sebastian St. Antonius Hospital, Nieuwegein, Netherlands aut Engrand Jean Centre Hospitalier Général, Dunkerque, France aut Villefranque Vincent CHG René Dubos, Pontoise, France aut Fernandez Hervé CHU Kremlin Bicêtre, Paris, France aut Panel Pierre CHG André Mignot, Versailles, France aut Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 51-55 1613-2076 8:1<51 2011 8 10397 https://doi.org/10.1007/s10397-010-0615-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-010-0615-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vleugels Michel Rivierenland Hospital, Tiel, Netherlands aut NATIONALLICENCE 700 1- Heckel Sergine Centre Hospitalier St. Joseph St. Luc, Lyon, France aut NATIONALLICENCE 700 1- Veersema Sebastian St. Antonius Hospital, Nieuwegein, Netherlands aut NATIONALLICENCE 700 1- Engrand Jean Centre Hospitalier Général, Dunkerque, France aut NATIONALLICENCE 700 1- Villefranque Vincent CHG René Dubos, Pontoise, France aut NATIONALLICENCE 700 1- Fernandez Hervé CHU Kremlin Bicêtre, Paris, France aut NATIONALLICENCE 700 1- Panel Pierre CHG André Mignot, Versailles, France aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 51-55 1613-2076 8:1<51 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer