Management of complications encountered with Essure hysteroscopic sterilization: a systematic review

Marisa R Adelman; Mark W Dassel; Howard T Sharp

doi:10.1016/j.jmig.2014.03.019

Management of complications encountered with Essure hysteroscopic sterilization: a systematic review

J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):733-43. doi: 10.1016/j.jmig.2014.03.019. Epub 2014 Apr 24.

Authors

Marisa R Adelman¹, Mark W Dassel², Howard T Sharp²

Affiliations

¹ Department of Obstetrics and Gynecology, University of Utah, Salt Lake City. Electronic address: marisa.adelman@hsc.utah.edu.
² Department of Obstetrics and Gynecology, University of Utah, Salt Lake City.

PMID: 24768959
DOI: 10.1016/j.jmig.2014.03.019

Abstract

Essure hysteroscopic sterilization has been US Food and Drug Administration-approved in the United States since 2002. Complications associated with the Essure device include improper placement (malpositioning), unintended pregnancy, pain, infection, and nickel allergy. The rarity of complications, compounded by underreporting, makes it difficult to determine best practices insofar as management. This systematic review synthesizes the national and global experience with management of Essure-related complications and suggests treatment options when data allow.

Keywords: Chronic pain; Complication; Essure; Hysteroscopic sterilization; Malposition.

Publication types

Review
Systematic Review

MeSH terms

Adult
Chronic Pain / etiology
Equipment Failure
Female
Humans
Hypersensitivity / etiology*
Hysteroscopy / adverse effects*
Hysteroscopy / instrumentation*
Medical Errors
Nickel / adverse effects*
Pregnancy
Pregnancy, Ectopic / etiology*
Pregnancy, Unplanned
Retrospective Studies
Sterilization, Tubal / adverse effects*
Sterilization, Tubal / instrumentation*
Treatment Failure
United States

Substances

Nickel