title: Essure hysteroscopic tubal occlusion device for the treatment of hydrosalpinx prior to in vitro fertilization-embryo transfer in patients with a contraindication for laparoscopy.
abstract: 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.
  
  
  METHODS
  Prospective, single-arm, clinical study.
  
  
  METHODS
  University hospital and teaching hospital.
  
  
  METHODS
  Ten women with uni- or bilateral hydrosalpinges prior to IVF. In all patients laparoscopy was felt to be contraindicated.
  
  
  METHODS
  Hysteroscopic placement of Essure devices in an office setting.
  
  
  METHODS
  Placement rate, successful proximal tubal occlusion, and pregnancy rate after IVF.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Proximal occlusion of hydrosalpinges with Essure devices before IVF is a successful treatment for patients with a contraindication for salpingectomy.
authors.affiliation: Department of Reproductive Medicine, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. mijatovic@vumc.nl
authors.forename: Velja
authors.initials: V
authors.lastname: Mijatovic
authors.forename: Sebastiaan
authors.initials: S
authors.lastname: Veersema
authors.forename: Mark Hans
authors.initials: MH
authors.lastname: Emanuel
authors.forename: Roel
authors.initials: R
authors.lastname: Schats
authors.forename: Peter G A
authors.initials: PG
authors.lastname: Hompes
mesh_terms: D000328:Adult; D004624:Embryo Transfer / Q000295:instrumentation / Q000379:methods*; D005187:Fallopian Tubes / Q000473:pathology* / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007231:Infant, Newborn; D007247:Infertility, Female / Q000628:therapy; D010535:Laparoscopy / Q000009:adverse effects; D011247:Pregnancy; D011446:Prospective Studies