Confirmation of Essure placement using transvaginal ultrasound

Sebastiaan Veersema, Michel Vleugels, Caroline Koks, Andreas Thurkow, Huub van der Vaart, Hans Brölmann

Research output: Contribution to journalArticleAcademicpeer-review

43 Citations (Scopus)


To evaluate the protocol for confirmation of satisfactory Essure placement using transvaginal ultrasound. Prospective multicenter cohort study (Canadian Task Force classification II-2). Outpatient departments of 4 teaching hospitals in the Netherlands. Eleven hundred forty-five women who underwent hysteroscopic sterilization using the Essure device between March 2005 and December 2007. Transvaginal ultrasound examination 12 weeks after uncomplicated successful bilateral placement or as indicated according to the transvaginal ultrasound protocol after 4 weeks, and hysterosalpingography (HSG) at 12 weeks to confirm correct placement of the device after 3 months. The rate of successful placement was 88.4% initially. In 164 women (15%), successful placement was confirmed at HSG according the protocol. In 9 patients (0.84%), incorrect position of the device was observed at HSG. The cumulative pregnancy rate after 18 months was 3.85 per thousand women. Transvaginal ultrasound should be the first diagnostic test used to confirm the adequacy of hysteroscopic Essure sterilization because it is minimally invasive, averts ionizing radiation, and does not decrease the effectiveness of the Essure procedure
Original languageEnglish
Pages (from-to)164-168
JournalJournal of Minimally Invasive Gynecology
Issue number2
Publication statusPublished - 2011

Cite this