Document Detail


Office ultrasound should be the first-line investigation for confirmation of correct ESSURE placement.
MedLine Citation:
PMID:  16029299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hysteroscopic options for permanent birth control (PBC), such as the ESSURE device, are becoming increasingly popular as an alternative to laparoscopic tubal ligation. The success of the technique hinges upon correct device placement within the intramural portion of the fallopian tube. OBJECTIVE: To determine the utility of office ultrasound for confirming correct ESSURE PBC device placement at the 3-month check in a general gynaecology practice. STUDY POPULATION: The first 99 patients in a single centre following ESSURE PBC device placement. TYPE OF STUDY: Prospective cohort study. METHODS: Clinical data was reviewed from patient records, both from the time of the initial procedure and from the follow-up at 3 months. All women underwent an ultrasound at the 3-month check. RESULTS: The ESSURE PBC devices were placed successfully in 84.8% of cases. Of those cases with apparently successful placement, office ultrasound alone confirmed correct device placement at the 3-month check in 94% of cases. Further imaging was needed in only 6% of cases. DISCUSSION: Office ultrasound performed by the general gynaecologist at the 3-month check is more convenient for the patient, and is sufficient to confirm ESSURE PBC device placement in the vast majority of cases. We propose that the protocol for ESSURE PBC device follow-up should be altered to replace X-ray with ultrasound as the first-line investigation.
Authors:
Gareth Weston; John Bowditch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  45     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-20     Completed Date:  2006-01-03     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  312-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynaecology, Monash University, Melbourne, Australia. gareth.weston@med.monash.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Contraceptive Devices, Female*
Fallopian Tubes / surgery,  ultrasonography*
Female
Follow-Up Studies
Humans
Hysteroscopy
Middle Aged
Physicians' Offices*
Prospective Studies
Reproducibility of Results
Sterilization, Tubal / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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