OBJECTIVE: To assess the effectiveness and complication rate with Essure microinsert placements for tubal sterilization and the concomitant bipolar intrauterine surgical procedure. DESIGN: Case control study. SETTING: Department of gynecology and obstetrics of a general hospital in France. PATIENT(S): 382 women, including 41 undergoing one or several concomitant uterine procedures with Essure placement, and 341 undergoing Essure placement only (controls). INTERVENTION(S): Essure placement with or without bipolar hysteroscopic procedure for polyp, myoma, or endometrial ablation. MAIN OUTCOME MEASURE(S): Success rate for microinsert placement and complications at 3 months. RESULT(S): Forty-one patients had Essure microinserts placed in combination with a bipolar hysteroscopic procedure: endometrial resection (n=32), fibroma resection (n=4), or polyp ablation (n=5). They were compared with 341 patients who underwent Essure placement only. The success rate for Essure placement was 97.6% in the combination group versus 97.6% in the control group. The complication rate was 4.9% (n=2) in the combination group versus 2.6% (n=9) in the control group. The difference in the success and complication rates was not statistically significant. CONCLUSION(S): Performing intrauterine bipolar resection during hysteroscopy for sterilization is possible without reducing the Essure placement success rate and without increasing morbidity.
OBJECTIVE: To assess the effectiveness and complication rate with Essure microinsert placements for tubal sterilization and the concomitant bipolar intrauterine surgical procedure. DESIGN: Case control study. SETTING: Department of gynecology and obstetrics of a general hospital in France. PATIENT(S): 382 women, including 41 undergoing one or several concomitant uterine procedures with Essure placement, and 341 undergoing Essure placement only (controls). INTERVENTION(S): Essure placement with or without bipolar hysteroscopic procedure for polyp, myoma, or endometrial ablation. MAIN OUTCOME MEASURE(S): Success rate for microinsert placement and complications at 3 months. RESULT(S): Forty-one patients had Essure microinserts placed in combination with a bipolar hysteroscopic procedure: endometrial resection (n=32), fibroma resection (n=4), or polyp ablation (n=5). They were compared with 341 patients who underwent Essure placement only. The success rate for Essure placement was 97.6% in the combination group versus 97.6% in the control group. The complication rate was 4.9% (n=2) in the combination group versus 2.6% (n=9) in the control group. The difference in the success and complication rates was not statistically significant. CONCLUSION(S): Performing intrauterine bipolar resection during hysteroscopy for sterilization is possible without reducing the Essure placement success rate and without increasing morbidity.