Follow-up of successful bilateral placement of Essure® microinserts with ultrasound
To evaluate the reliability of pelvic X-ray and transvaginal ultrasound to localize Essure microinserts (Conceptus, San Carlos, California) after successful placement in both fallopian tubes 3 months after placement. Prospective, observational study. Gynecology departments at two teaching hospitals....
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| Veröffentlicht in: | Fertility and sterility 2005-12, Vol.84 (6), p.1733-1736 |
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| container_title | Fertility and sterility |
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| creator | VEERSTEMA, Sebastiaan VLEUGELS, Michel P. H TIMMERMANS, Anne BRÖLMANN, Hans A. M |
| description | To evaluate the reliability of pelvic X-ray and transvaginal ultrasound to localize Essure microinserts (Conceptus, San Carlos, California) after successful placement in both fallopian tubes 3 months after placement.
Prospective, observational study.
Gynecology departments at two teaching hospitals.
One hundred eighty-two patients who underwent hysteroscopic sterilization by placement of Essure microinserts between August 2002 and August 2004.
Transvaginal ultrasound, pelvic X-ray, and hysterosalpingography (HSG) 3 months after sterilization with Essure.
Transvaginal ultrasound confirmation of correct localization of microinserts after a 3-month follow-up.
In 150 of 182 patients, confirmation of successful bilateral placement of two microinserts (300 devices) was possible. In 9 patients it was not possible to identify both devices with ultrasound, or there was doubt about the extension of the device through the uterotubal junction. The other 291 devices were identified as being in a good position.
Hysterosalpingography at the 3-month follow-up after successful placement of Essure microinserts can be replaced by transvaginal ultrasonography. A 3-month follow-up with HSG after the Essure procedure is only required after unsatisfactory placements. In those patients in whom transvaginal ultrasonography cannot confirm satisfactory localization, a complementary pelvic X-ray should be performed. |
| doi_str_mv | 10.1016/j.fertnstert.2005.05.047 |
| format | Article |
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Prospective, observational study.
Gynecology departments at two teaching hospitals.
One hundred eighty-two patients who underwent hysteroscopic sterilization by placement of Essure microinserts between August 2002 and August 2004.
Transvaginal ultrasound, pelvic X-ray, and hysterosalpingography (HSG) 3 months after sterilization with Essure.
Transvaginal ultrasound confirmation of correct localization of microinserts after a 3-month follow-up.
In 150 of 182 patients, confirmation of successful bilateral placement of two microinserts (300 devices) was possible. In 9 patients it was not possible to identify both devices with ultrasound, or there was doubt about the extension of the device through the uterotubal junction. The other 291 devices were identified as being in a good position.
Hysterosalpingography at the 3-month follow-up after successful placement of Essure microinserts can be replaced by transvaginal ultrasonography. A 3-month follow-up with HSG after the Essure procedure is only required after unsatisfactory placements. In those patients in whom transvaginal ultrasonography cannot confirm satisfactory localization, a complementary pelvic X-ray should be performed.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2005.05.047</identifier><identifier>PMID: 16359973</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Biological and medical sciences ; Contraceptive Devices, Female ; Fallopian Tubes - diagnostic imaging ; Female ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Humans ; Hysterosalpingography - standards ; Medical sciences ; Pelvis - diagnostic imaging ; Predictive Value of Tests ; Prospective Studies ; Reproducibility of Results ; Sterilization, Reproductive - instrumentation ; Sterilization, Reproductive - methods ; Ultrasonography - standards ; Vagina - diagnostic imaging</subject><ispartof>Fertility and sterility, 2005-12, Vol.84 (6), p.1733-1736</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-4daeb1ecfc09aaf59c78c8ced402e248198fe3cd316877b1f701002beff80d243</citedby><cites>FETCH-LOGICAL-c393t-4daeb1ecfc09aaf59c78c8ced402e248198fe3cd316877b1f701002beff80d243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17378828$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16359973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VEERSTEMA, Sebastiaan</creatorcontrib><creatorcontrib>VLEUGELS, Michel P. H</creatorcontrib><creatorcontrib>TIMMERMANS, Anne</creatorcontrib><creatorcontrib>BRÖLMANN, Hans A. M</creatorcontrib><title>Follow-up of successful bilateral placement of Essure® microinserts with ultrasound</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>To evaluate the reliability of pelvic X-ray and transvaginal ultrasound to localize Essure microinserts (Conceptus, San Carlos, California) after successful placement in both fallopian tubes 3 months after placement.
Prospective, observational study.
Gynecology departments at two teaching hospitals.
One hundred eighty-two patients who underwent hysteroscopic sterilization by placement of Essure microinserts between August 2002 and August 2004.
Transvaginal ultrasound, pelvic X-ray, and hysterosalpingography (HSG) 3 months after sterilization with Essure.
Transvaginal ultrasound confirmation of correct localization of microinserts after a 3-month follow-up.
In 150 of 182 patients, confirmation of successful bilateral placement of two microinserts (300 devices) was possible. In 9 patients it was not possible to identify both devices with ultrasound, or there was doubt about the extension of the device through the uterotubal junction. The other 291 devices were identified as being in a good position.
Hysterosalpingography at the 3-month follow-up after successful placement of Essure microinserts can be replaced by transvaginal ultrasonography. A 3-month follow-up with HSG after the Essure procedure is only required after unsatisfactory placements. In those patients in whom transvaginal ultrasonography cannot confirm satisfactory localization, a complementary pelvic X-ray should be performed.</description><subject>Biological and medical sciences</subject><subject>Contraceptive Devices, Female</subject><subject>Fallopian Tubes - diagnostic imaging</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hysterosalpingography - standards</subject><subject>Medical sciences</subject><subject>Pelvis - diagnostic imaging</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Sterilization, Reproductive - instrumentation</subject><subject>Sterilization, Reproductive - methods</subject><subject>Ultrasonography - standards</subject><subject>Vagina - diagnostic imaging</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1KxTAQhYMoev15BelGd71OkrZJlyL-geBG1yFNJ9hL2l4zDeJL-RA-mS1euDDMbL5z5nAYyzisOfDqZrP2GKeBpnmvBUC5XqZQB2zFy7LKy6qUh2wFwMschBYn7JRoAwAVV-KYnfBKlnWt5Iq9PYwhjF952majzyg5h0Q-hazpgp3tbci2wTrscZgW4p4oRfz9yfrOxbEbaE5A2Vc3fWQpTNHSmIb2nB15GwgvdveMvT_cv9095S-vj893ty-5k7Wc8qK12HB03kFtrS9rp7TTDtsCBIpC81p7lK6VvNJKNdwr4ACiQe81tKKQZ-z633cbx8-ENJm-I4ch2AHHRKbSNRRCqRnU_-CcmSiiN9vY9TZ-Gw5madRszL5RszRqlikW6eXuR2p6bPfCXYUzcLUDLDkbfLSD62jPKam0Flr-AbrphfU</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>VEERSTEMA, Sebastiaan</creator><creator>VLEUGELS, Michel P. H</creator><creator>TIMMERMANS, Anne</creator><creator>BRÖLMANN, Hans A. M</creator><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Follow-up of successful bilateral placement of Essure® microinserts with ultrasound</title><author>VEERSTEMA, Sebastiaan ; VLEUGELS, Michel P. H ; TIMMERMANS, Anne ; BRÖLMANN, Hans A. M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-4daeb1ecfc09aaf59c78c8ced402e248198fe3cd316877b1f701002beff80d243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>Contraceptive Devices, Female</topic><topic>Fallopian Tubes - diagnostic imaging</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hysterosalpingography - standards</topic><topic>Medical sciences</topic><topic>Pelvis - diagnostic imaging</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Sterilization, Reproductive - instrumentation</topic><topic>Sterilization, Reproductive - methods</topic><topic>Ultrasonography - standards</topic><topic>Vagina - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VEERSTEMA, Sebastiaan</creatorcontrib><creatorcontrib>VLEUGELS, Michel P. H</creatorcontrib><creatorcontrib>TIMMERMANS, Anne</creatorcontrib><creatorcontrib>BRÖLMANN, Hans A. 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M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Follow-up of successful bilateral placement of Essure® microinserts with ultrasound</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>84</volume><issue>6</issue><spage>1733</spage><epage>1736</epage><pages>1733-1736</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>To evaluate the reliability of pelvic X-ray and transvaginal ultrasound to localize Essure microinserts (Conceptus, San Carlos, California) after successful placement in both fallopian tubes 3 months after placement.
Prospective, observational study.
Gynecology departments at two teaching hospitals.
One hundred eighty-two patients who underwent hysteroscopic sterilization by placement of Essure microinserts between August 2002 and August 2004.
Transvaginal ultrasound, pelvic X-ray, and hysterosalpingography (HSG) 3 months after sterilization with Essure.
Transvaginal ultrasound confirmation of correct localization of microinserts after a 3-month follow-up.
In 150 of 182 patients, confirmation of successful bilateral placement of two microinserts (300 devices) was possible. In 9 patients it was not possible to identify both devices with ultrasound, or there was doubt about the extension of the device through the uterotubal junction. The other 291 devices were identified as being in a good position.
Hysterosalpingography at the 3-month follow-up after successful placement of Essure microinserts can be replaced by transvaginal ultrasonography. A 3-month follow-up with HSG after the Essure procedure is only required after unsatisfactory placements. In those patients in whom transvaginal ultrasonography cannot confirm satisfactory localization, a complementary pelvic X-ray should be performed.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>16359973</pmid><doi>10.1016/j.fertnstert.2005.05.047</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Contraceptive Devices, Female Fallopian Tubes - diagnostic imaging Female Follow-Up Studies Gynecology. Andrology. Obstetrics Humans Hysterosalpingography - standards Medical sciences Pelvis - diagnostic imaging Predictive Value of Tests Prospective Studies Reproducibility of Results Sterilization, Reproductive - instrumentation Sterilization, Reproductive - methods Ultrasonography - standards Vagina - diagnostic imaging |
| title | Follow-up of successful bilateral placement of Essure® microinserts with ultrasound |
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