title: Proximal occlusion of hydrosalpinges by Essure(®) before assisted reproduction techniques: a French survey.
abstract: OBJECTIVE
  To study the feasibility and results (live-birth and complication rates) of placement of Essure(®) microinserts before assisted reproductive technology (ART) treatment of women with hydrosalpinx when laparoscopy should be avoided. Study design National survey of 45 French hospital centres providing ART reporting a retrospective analysis of 43 women with unilateral or bilateral hydrosalpinges and Essure(®) placement. The results of the following ART cycle were studied for 54 embryo transfers.
  
  
  RESULTS
  The placement success rate reached 92.8% (65/70 tubes), and the mean number of visible intrauterine coils was 1.61 (range: 0-6). Pyosalpinx occurred in one case, and expulsion of the device into the uterus in two others. Of 43 women, 29 (67.4%) had a total of 54 fresh or frozen embryos transferred. The clinical pregnancy rate was 40.7% (22/54) and the live-birth rate 25.9% (14/54). The implantation rate was 29.3% (27/92).
  
  
  CONCLUSIONS
  Essure(®) placement is an effective method for occlusion of hydrosalpinges before IVF. Monitoring the live-birth rate confirms that this option is the strongest in cases when laparoscopy is impossible or contraindicated.
authors.affiliation: Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital de Bicêtre, Le Kremlin-Bicêtre, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Legendre
authors.affiliation: Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital de Bicêtre, Le Kremlin-Bicêtre, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Moulin
authors.affiliation: Service de Gynécologie-Obstétrique, Clinique mutualiste La Sagesse, Rennes, France.
authors.forename: Jean
authors.initials: J
authors.lastname: Vialard
authors.affiliation: Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- maternité Port Royal, Hôpital Cochin, France.
authors.forename: Dominique D E
authors.initials: DD
authors.lastname: Ziegler
authors.affiliation: Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital Antoine Béclère, Clamart, France.
authors.forename: Renato
authors.initials: R
authors.lastname: Fanchin
authors.affiliation: Service de Gynécologie-Obstétrique, CHU de Clermont-Ferrand, CHU d'Estaing, Clermont-Ferrand, France.
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Pouly
authors.affiliation: Service de Gynécologie Obstétrique, Hôpital privé Natecia, Lyon, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Watrelot
authors.affiliation: Service de Gynécologie Obstétrique, Centre hospitalier des quatre villes, Sèvres, France.
authors.forename: Joëlle
authors.initials: J
authors.lastname: Belaisch Allart
authors.affiliation: Service de Gynécologie Obstétrique, Centre hospitalier intercommunal de Créteil, Créteil, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Massin
authors.affiliation: Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital de Bicêtre, Le Kremlin-Bicêtre, France. Electronic address: herve.fernandez@bct.aphp.fr.
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D000328:Adult; D000075202:Contraindications; D004624:Embryo Transfer; D005184:Fallopian Tube Diseases / Q000628:therapy*; D005260:Female; D005307:Fertilization in Vitro; D005602:France; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D019736:Prostheses and Implants / Q000009:adverse effects; D011475:Prosthesis Failure; D012189:Retrospective Studies; D013246:Sterilization, Tubal / Q000295:instrumentation*
keywords: Assisted reproduction techniques; Clinical pregnancy rate.; Essure(®); Hydrosalpinx; Tubal sterilisation