Long-term patient satisfaction and removal rate after essure sterilization: a follow-up study

BMC Womens Health. 2022 Jun 23;22(1):250. doi: 10.1186/s12905-022-01838-3.

Abstract

Background: The objective of our study was to assess the rate and causes for Essure® micro-insert system removal and patients' long term satisfaction rate with the procedure.

Methods: All patients who underwent Essure® hysteroscopic sterilization at our tertiary centre between years 2007 and 2018 were included in this follow-up study. A questionnaire was sent to all patients per standard mail. Patients who did not respond to questionnaires per mail, were called by phone. The satisfaction with the Essure® sterilization, as well as any additional procedures after the insertion or insertion-related complications were analysed.

Results: From the year 2007 to 2018, we performed 427 Essure® hysteroscopic sterilizations and of these, 329 patients responded to the questionnaire (response rate 77%). Ten patients (3%) had Essure® removal, two of them due to pain (0.6%). Patients were very satisfied with the procedure (9.5 on scale 0-10). Most patients (95.3%) would recommend the procedure to their friend.

Conclusions: Essure® hysteroscopic sterilization is a procedure with a very high satisfaction rate and a very low removal rate due to sterilization-related complications. Trial registration Institutional review board of University medical centre Maribor approved the study, approval number UKC-MB-KME-73/19.

Keywords: Essure; Hysteroscopic sterilization; Outpatient hysteroscopy; Satisfaction rate.

MeSH terms

  • Female
  • Follow-Up Studies
  • Humans
  • Hysteroscopy / methods
  • Patient Satisfaction
  • Postoperative Complications
  • Pregnancy
  • Retrospective Studies
  • Sterilization
  • Sterilization, Tubal* / methods