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In Vitro Fertilization Outcomes After Placement of Essure Microinserts in Patients With Hydrosalpinges Who Previously Failed In Vitro Fertilization Treatment: A Multicenter Study.
J Minim Invasive Gynecol. 2016 Sep-Oct; 23(6):939-43.JM

Abstract

STUDY OBJECTIVE

To investigate whether hysteroscopic proximal tubal occlusion with Essure microinserts (Conceptus Inc.; Bayer, AG, North Rhine-Westphalia, Germany) can improve pregnancy rates in patients with hydrosalpinges who had failed in vitro fertilization (IVF) treatment.

DESIGN

A prospective cohort study.

SETTING

University-affiliated tertiary centers.

PATIENTS

Twenty-four consecutive women with hydrosalpinges who had failed IVF treatment were included.

INTERVENTIONS

Hysteroscopic placement of Essure microinserts for hydrosalpinx blockage followed by IVF treatment.

MEASUREMENTS AND MAIN RESULTS

Ongoing pregnancy and live birth rates were recorded. Of the 24 patients undergoing a total of 42 IVF cycles after Essure insertion, 18 (75% of patients and 42.8% of IVF cycle attempts) conceived and 16 delivered live births (66.6% of patients and 38.1% of IVF cycle attempts).

CONCLUSION

Hysteroscopic proximal occlusion of hydrosalpinges with Essure microinserts is a valuable alternative to laparoscopic salpingectomy, resulting in reasonable pregnancy rates.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: shlomo.cohen@sheba.health.gov.il.Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.Hadassah-Hebrew University Medical Center, Jerusalem, Israel.Hadassah-Hebrew University Medical Center, Jerusalem, Israel.Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

27257082

Citation

Cohen, Shlomo B., et al. "In Vitro Fertilization Outcomes After Placement of Essure Microinserts in Patients With Hydrosalpinges Who Previously Failed in Vitro Fertilization Treatment: a Multicenter Study." Journal of Minimally Invasive Gynecology, vol. 23, no. 6, 2016, pp. 939-43.
Cohen SB, Bouaziz J, Schiff E, et al. In Vitro Fertilization Outcomes After Placement of Essure Microinserts in Patients With Hydrosalpinges Who Previously Failed In Vitro Fertilization Treatment: A Multicenter Study. J Minim Invasive Gynecol. 2016;23(6):939-43.
Cohen, S. B., Bouaziz, J., Schiff, E., Simon, A., Nadjary, M., Goldenberg, M., Orvieto, R., & Revel, A. (2016). In Vitro Fertilization Outcomes After Placement of Essure Microinserts in Patients With Hydrosalpinges Who Previously Failed In Vitro Fertilization Treatment: A Multicenter Study. Journal of Minimally Invasive Gynecology, 23(6), 939-43. https://doi.org/10.1016/j.jmig.2016.05.010
Cohen SB, et al. In Vitro Fertilization Outcomes After Placement of Essure Microinserts in Patients With Hydrosalpinges Who Previously Failed in Vitro Fertilization Treatment: a Multicenter Study. J Minim Invasive Gynecol. 2016 Sep-Oct;23(6):939-43. PubMed PMID: 27257082.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - In Vitro Fertilization Outcomes After Placement of Essure Microinserts in Patients With Hydrosalpinges Who Previously Failed In Vitro Fertilization Treatment: A Multicenter Study. AU - Cohen,Shlomo B, AU - Bouaziz,Jerome, AU - Schiff,Eyal, AU - Simon,Alexander, AU - Nadjary,Michel, AU - Goldenberg,Mordechai, AU - Orvieto,Raoul, AU - Revel,Ariel, Y1 - 2016/05/30/ PY - 2016/03/19/received PY - 2016/05/17/revised PY - 2016/05/23/accepted PY - 2016/6/4/entrez PY - 2016/6/4/pubmed PY - 2017/7/14/medline KW - ESSURE KW - Failed in vitro fertilization KW - Hydrosalpinges KW - Salpingectomy SP - 939 EP - 43 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 23 IS - 6 N2 - STUDY OBJECTIVE: To investigate whether hysteroscopic proximal tubal occlusion with Essure microinserts (Conceptus Inc.; Bayer, AG, North Rhine-Westphalia, Germany) can improve pregnancy rates in patients with hydrosalpinges who had failed in vitro fertilization (IVF) treatment. DESIGN: A prospective cohort study. SETTING: University-affiliated tertiary centers. PATIENTS: Twenty-four consecutive women with hydrosalpinges who had failed IVF treatment were included. INTERVENTIONS: Hysteroscopic placement of Essure microinserts for hydrosalpinx blockage followed by IVF treatment. MEASUREMENTS AND MAIN RESULTS: Ongoing pregnancy and live birth rates were recorded. Of the 24 patients undergoing a total of 42 IVF cycles after Essure insertion, 18 (75% of patients and 42.8% of IVF cycle attempts) conceived and 16 delivered live births (66.6% of patients and 38.1% of IVF cycle attempts). CONCLUSION: Hysteroscopic proximal occlusion of hydrosalpinges with Essure microinserts is a valuable alternative to laparoscopic salpingectomy, resulting in reasonable pregnancy rates. SN - 1553-4669 UR - https://www.unboundmedicine.com/medline/citation/27257082/In_Vitro_Fertilization_Outcomes_After_Placement_of_Essure_Microinserts_in_Patients_With_Hydrosalpinges_Who_Previously_Failed_In_Vitro_Fertilization_Treatment:_A_Multicenter_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-4650(16)30081-4 DB - PRIME DP - Unbound Medicine ER -