Document Detail

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

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