| Essure hysteroscopic tubal occlusion device for the treatment of hydrosalpinx prior to in vitro fertilization-embryo transfer in patients with a contraindication for laparoscopy. | |
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MedLine Citation:
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PMID: 19147140 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Velja Mijatovic; Sebastiaan Veersema; Mark Hans Emanuel; Roel Schats; Peter G A Hompes |
Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article Date: 2009-01-14 |
Journal Detail:
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Title: Fertility and sterility Volume: 93 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-01 Completed Date: 2010-04-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 1338-42 Citation Subset: IM |
Copyright Information:
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Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Reproductive Medicine, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. mijatovic@vumc.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Embryo Transfer / instrumentation, methods* Fallopian Tubes / pathology*, surgery* Female Fertilization in Vitro / instrumentation, methods* Humans Hysteroscopy / methods* Infant, Newborn Infertility, Female / therapy Laparoscopy* / adverse effects Pregnancy Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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