Abstract
Hysteroscopic tubal sterilzation using the Essure microinserts has been shown to be highly effective and carries a low rate of complications. Early expulsions of the device prior to the three month recommended hysterosalpingogram, have been reported to be approximately 3%.(1) However, expulsion of the microinsert after confirming occluded tubes is believed to be an unusual event. Dr. Garcia recently reported in JMIG the first known case report of expulsion remote from insertion.(2) This video presents the treatment of two additional cases of symptomatic Essure expulsion years after successful insertion documented by occluded fallopian tubes on HSG.1.Cooper JM, Carigan CS, Cher D, Kerin JF. Microinsert Nonincisional Hysteroscopic Sterilization. Obstet Gynecol 2003;102:59-67.2.Garcia AL, Lewis RM, Sloan AL. Essure insert expulsion after 3-month hysterosalpingogram confirmation of bilateral tubal occlusion and bilateral correct placement: case report. J Minim Invasive Gynecol 2013 Jan-Feb;20(1):107-111.
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