Abstract
Essure contraceptive device is an FDA approved tubal occlusive sterilization method that has been available for over a decade. There has been a steady increase in the number of patients requesting Essure removal due to perceived relationship to pelvic pain and other symptoms. Patients presenting for consultation request complete removal of the device. They are counseled that their symptoms may persist despite Essure removal. This video presents three techniques of laparoscopic Essure removal. In the first technique, the fallopian tubes and the uterine cornua are removed. In the second technique, the distal fallopian tube is incised and the Essure device is extracted, followed by a salpingectomy while preserving the cornua. Some patients elect to undergo a total laparoscopic hysterectomy with bilateral salpingectomy. In 11 patients surveyed, 73% reported improvement in pelvic pain and quality of life.
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