title: Bipolar hysteroscopic procedures and placement of Essure microinserts for tubal sterilization: a case control study.
abstract: OBJECTIVE
  To assess the effectiveness and complication rate with Essure microinsert placements for tubal sterilization and the concomitant bipolar intrauterine surgical procedure.
  
  
  METHODS
  Case control study.
  
  
  METHODS
  Department of gynecology and obstetrics of a general hospital in France.
  
  
  METHODS
  382 women, including 41 undergoing one or several concomitant uterine procedures with Essure placement, and 341 undergoing Essure placement only (controls).
  
  
  METHODS
  Essure placement with or without bipolar hysteroscopic procedure for polyp, myoma, or endometrial ablation.
  
  
  METHODS
  Success rate for microinsert placement and complications at 3 months.
  
  
  RESULTS
  Forty-one patients had Essure microinserts placed in combination with a bipolar hysteroscopic procedure: endometrial resection (n=32), fibroma resection (n=4), or polyp ablation (n=5). They were compared with 341 patients who underwent Essure placement only. The success rate for Essure placement was 97.6% in the combination group versus 97.6% in the control group. The complication rate was 4.9% (n=2) in the combination group versus 2.6% (n=9) in the control group. The difference in the success and complication rates was not statistically significant.
  
  
  CONCLUSIONS
  Performing intrauterine bipolar resection during hysteroscopy for sterilization is possible without reducing the Essure placement success rate and without increasing morbidity.
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier de Versailles, Hôpital André Mignot, Le Chesnay, France. ppanel@ch-versailles.fr
authors.forename: Pierre
authors.initials: P
authors.lastname: Panel
authors.forename: Isabelle
authors.initials: I
authors.lastname: Grosdemouge
authors.forename: Marie
authors.initials: M
authors.lastname: Houllier
authors.forename: Frédérique
authors.initials: F
authors.lastname: Renouvel
authors.forename: Ludovic
authors.initials: L
authors.lastname: Friederich
authors.forename: Arnaud
authors.initials: A
authors.lastname: Le Tohic
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D005260:Female; D005602:France; D006769:Hospitals, General; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects; D007434:Intrauterine Devices / Q000009:adverse effects; D008875:Middle Aged; D011446:Prospective Studies; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome