Essure a novel option for the treatment of hydrosalpinx: a case series and literature review

Objective: The aim of this study is to evaluate the use of hysteroscopic Essure device placement for the treatment of hydrosalpinx (HS)-related infertility in patients with laparoscopic contraindications and compared their pregnancy outcomes following IVF-ICSI treatment with those patients having ha...

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Bibliographic Details
Published in:Gynecological endocrinology 2016-02, Vol.32 (2), p.166-170
Main Authors: Lorente González, Juan, Ríos Castillo, José Enrique, Pomares Toro, Elvira, Romero Nieto, María Inmaculada, Castelo-Branco, Camil, Arjona Berral, José Eduardo
Format: Article
Language:English
Subjects:
Adult
Assisted reproductive technology
Essure
Fallopian Tube Diseases - therapy
Female
Fertilization in Vitro - methods
Humans
hydrosalpinx
Hysteroscopy - instrumentation
infertility
Infertility, Female - therapy
live-birth rate
Outcome Assessment (Health Care)
Prostheses and Implants
Salpingectomy
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Summary:Objective: The aim of this study is to evaluate the use of hysteroscopic Essure device placement for the treatment of hydrosalpinx (HS)-related infertility in patients with laparoscopic contraindications and compared their pregnancy outcomes following IVF-ICSI treatment with those patients having had laparoscopic tubal occlusion (LTO). Patients: From 2008 to 2014 a total of 50 patients were diagnosed with unilateral or bilateral hydrosalpinges: 29 patients had laparoscopic contraindications and were treated hysteroscopically and 21 patients were treated with laparoscopical salpingectomy. Results: Of the 29 patients who underwent treatment with Essure®, 21 began a cycle of in vitro fertilization (IVF), and 13 finished in embryo transfer that resulted in seven clinical pregnancies. Furthermore, in the group of women treated with salpingectomy, 17 started an IVF cycle that resulted in 12 clinical pregnancies. The clinical pregnancy rate per patient with an IVF cycle started was 33.3% and 70.6%, the live-birth rate per patient was 14.3% and 52.9%, the miscarriage rate was 57.1% and 18.2%, and the implantation rate was 16.3% and 34.1% for hysteroscopy and laparoscopy, respectively. Conclusion: Essure® placement is an alternative method for occlusion of hydrosalpinges before IVF. Monitoring the live-birth rate confirms that this option may be considered when laparoscopy is impossible or contraindicated.
ISSN:0951-3590
1473-0766
DOI:10.3109/09513590.2015.1103221