Placement of a permanent birth control device at a university medical center

Valerie I. Shavell, Mazen E. Abdallah, Michael P. Diamond, Jay M. Berman

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


OBJECTIVE: To determine the Essure placement failure rate and analyze factors associated with failure in an urban, nonstudy population at a university medical center. STUDY DESIGN: A retro-spective study was conduct-ed of women who underwent attempted Essure hystero-scopic sterilization at the De-troit Medical Center (DMC) from January 1, 2003, to June 30, 2007. RESULTS: There were 316 Essure procedures attempted at the DMC from January 2003 through June 2007. Of the 316 attempted proce-dures, there were 22 device placement failures and 3 doc-umented post-Essure pregnancies. Of the 22 placement failures, 11 were attributed to difficulty visualizing the tubal ostia. Other causes of failure included device mal-function, uterine perforation, tubal perforation, expul-sion of the device, tubal spasm, tubal ostia too large for the device and unspecified. Difficulty visualizing the ostia (p < 0.001) and a longer procedure time (p=0.008) were significantly associated with failure. CONCLUSION: The rate of successful placement of the Essure permanent birth control device at the DMC is 92.1%, with a post-Essure pregnancy rate of 0.95%. The majority of placement failures may be attributed to diffi-culty visualizing the tubal ostia. (J Reprod Med 2009; 54:218-222).

Original languageEnglish (US)
Pages (from-to)218-222
Number of pages5
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Issue number4
StatePublished - 2009
Externally publishedYes


  • Essure
  • Hysteroscopic sterilization
  • Pregnancy
  • Tubal occlusion

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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