Dr. Maja RosičSpecialist of gynecology and obstetrics, Gynecologic Health Institution Rosič, Ptuj, Slovenia
Speech Title: Sonographic assessment of the efficacy of Essure hysteroscopic sterilization
Abstract: Essure (Bayer AG, Leverkusen, Germany) is a hysteroscopic sterilization procedure. The efficacy of the sterilization procedure is assessed by a confirmation test, which is performed to evaluate the micro-insert position or tubal occlusion. Of all different imaging techniques, a confirmation with hysterosalpingography (HSG) is the reference standard. 2-dimensional (2D) transvaginal ultrasonography was proposed to be an adequate noninvasive method for assessment of micro-insert position, however when sterilization is complicated or when the confirmation with 2D transvaginal ultrasonography is unsatisfactory, HSG is still indicated. A few years ago, hysterosalpingo-foam sonography (HyFoSy) was introduced and was suggested to be a possible less invasive alternative to HSG. Our prospective study included patients, who underwent three different confirmation tests after Essure hysteroscopic sterilization. The purpose of our study was to evaluate the accuracy of sonographic imaging techniques for assessment of the efficacy of Essure.
Keywords: hysteroscopic sterilization, 2D transvaginal ultrasonography, hysterosalpingo-foam sonography, hysterosalpingography
Acknowledgements: We would like to thank the University Medical Centre Maribor for help and support.
Biography: Maja Rosič is specialist of gynecology and obstetrics at the Gynecologic Health Institution Rosič in Ptuj, Slovenia. She is also a research assistant at the Faculty of Medicine University of Maribor, where she received her PhD in Biomedical technology. Her research is focused on the field of gynecology, obstetrics and ultrasound Imaging. She has published her research in peer-reviewed journals and is an author of many invited lectures at national and international gynecological conferences.