Abstract
Permanent sterilization is a very common form of family planning. Hysteroscopic sterilization has been an ongoing target for litigation, complaints and adverse publicity. To establish a positive correlation between Essure® insertion and any given side effect, it must be demonstrated that the incidence of the specific symptom is higher in patients who underwent Essure® insertion than in the general population. There are many confounders that must be taken into consideration before concluding that a given symptom is related to an intervention. A review of different clinical conditions regarding Essure® is presented.
Conclusion: Evidence based support linking the use of Essure® to adverse events is lacking when placed in appropriate selected candidates. Adequate patient selection and thorough inform consent is strongly encouraged before inserting Essure®.
Citation
Jose C, Fausto A and Antonio L. Essure® Permanent Sterilization. A not Evidence-Based Argument Controversy. SM J Gynecol Obstet. 2018; 4(1): 1026.