Brett J Cassidy*, James N Hawkins, Julie S Christopher and Mikayla S Cassidy
Department of Obstetrics and Gynecology, AMITA Health Mercy Medical Center Aurora, USAFulltext PDF
Study objective: To evaluate symptoms related to Essure and resolution of these symptoms after Essure removal performed by hysterectomy and bilateral salpingectomy. Design: Single center retrospective case series and follow up patient survey. Setting: Private Obstetrics and Gynecology practice in Yorkville, IL. Patients: 85 Women who underwent removal of Essure coils from 2015-2018. Interventions: Surgical removal of Essure was performed by robotic assisted total laparoscopic hysterectomy with bilateral salpingectomy in all patients. Measurements: Telephone survey was performed for all patients. They were asked to rate the severity of their symptoms on a scale from 0 to 5 for the following symptoms: Brain fog, Dental problems, Dyspareunia, Fatigue, Gastrointestinal upset, Hair loss, Headaches, Joint pain, Menorrhagia, Pelvic pain, Skin rashes and Quality of life. Patients were asked for the severity before they had Essure placed, while Essure was in their body and after Essure was removed. Main results: 85 patients had Essure removed through hysterectomy and bilateral salpingectomy. 98% of patients had an improvement in their quality of life. The mean quality of life score was 1.4/5 with Essure in place, which improved to 4.2/5 after removal. In every category of symptoms reported by patients, the average severity score improved after hysterectomy. Conclusion: Essure removal performed by hysterectomy and bilateral salpingectomy is an effective treatment to improve quality of life and alleviate a multitude of symptoms in women suffering from Essure related problems.
Essure removal; Laparoscopic hysterectomy; Quality of life; Symptom resolution
Cassidy BJ, Hawkins JN, Christopher JS, Cassidy MS. Complete Essure Removal by Hysterectomy and Bilateral Salpingectomy for Treatment of Device- Associated Symptoms: A Case Series and Follow-up Survey. Ann Gynecol Obstetr Res. 2019; 2(2): 1013.