Unilateral placement of the Adiana device after failed bilateral placement of the Essure device for hysteroscopic sterilization.
This case report outlines the successful completion of hysteroscopic sterilization using the Adiana Permanent Contraception device (Hologic, Inc., Bedford, MA) after failure of multiple attempts to bilaterally place the Essure Permanent Birth Control system (Conceptus Inc., Mountain View, CA). The patient desired hysteroscopic sterilization using the Essure system. Although the first coil was easily placed in the right ostium, the second coil could not be passed beyond 2.4 cm into the left ostium. Inasmuch as the Adiana system needs to be passed only 1.4 cm into the ostium, this was found to be adequate for appropriate placement of the implant. Adiana may be an effective alternative to Essure, especially in patients in whom tubal stricture or spasm prevents Essure placement.
Gimpelson
Richard J
RJ
Department of Obstetrics and Gynecology, St. Luke's Hospital and St. Louis University School of Medicine, St. Louis, Missouri 63017, USA. rgimpelson@aol.com
Wagner
Corey A
CA
D000328:Adult; D020099:Coated Materials, Biocompatible; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D019736:Prostheses and Implants; D013246:Sterilization, Tubal / Q000295:instrumentation*
D020099:Coated Materials, Biocompatible