AT A PERSONAL CHOICE
Women who come to our center for Essure coil removal do so because they are having Essure side effects and they strongly desire to preserve their uterus and avoid hysterectomy.
We performed our first Essure coil removal procedure in 2009. Since this first procedure, we have performed over 150 surgical procedures to either reverse Essure or remove Essure coils. Due to our experience with removing Essure, we have gradually perfected our technique so the risk of leaving coil fragments inside the uterine cavity or uterine muscle has been greatly reduced. Many of our patients are also concerned about reactive scarring and inflammation around the coils. Not only are we able to remove the coils intact, but we are also able to remove both the coil and surrounding tubal muscularis, while at the same time minimizing damage to the uterus and most of the tubal blood supply.
What is Essure?
Essure is a newer form of female sterilization, which was approved for use in the United States by the FDA in 2002.
During an Essure procedure a small micro-insert composed of two metallic coils is placed inside the opening of each fallopian tube. This causes the tube to heal closed by the formation of scar tissue around the coil and inside the tube. This blockage only occurs in the very beginning of the fallopian tubes.
For a more detailed description of the Essure sterilization system: Essure Micro-insert coil device: A detailed explanation
The Adiana procedure is similar to, but not as common as, Essure. Adiana has been removed from the market and is no longer being performed.
Over the next 10 years over 750,000 Essure procedures would be performed. We began seeing inquires for Essure reversal and Essure removal in 2008 and performed our first Essure coil extraction in 2009. From 2009 to 2014, we have performed over 150 Essure removal surgeries.
Essure side effects
Patients who come to us for Essure removal do so because they began experiencing side effects soon after their Essure procedure.
Most patients who come to our center for treatment do so because of persistent pain and cramping after Essure and these symptoms have not quickly resolved. Others report systemic symptoms of generalized skin rash and joint pain. A few patients have also been diagnosed with other rheumatologic and endocrine conditions; chronic pain, rheumatoid arthritis, and thyroid dysfunction. These patients are often uncertain if Essure caused these abnormalities and they request removal to be certain there is no correlation. They are often realistic in their expectations when they came to us and they chose coil removal to help them diagnose the real cause of their symptoms.
Many women are told they cannot be experiencing side effects after Essure but FDA statistics do support the existence of both Essure related complications and Essure related side effects.
For more information: Essure side effects: FDA statistics
Many women who experience side effects after Essure are often advised by their medical providers to have a hysterectomy or to have their fallopian tubes removed. We do not perform hysterectomy at our center and we do not remove fallopian tubes because of Essure side effects.
Women who come to our center do so because they strongly want to avoid a hysterectomy and prefer to have the Essure coils removed instead. They come to us knowing they are coming to a surgeon who has removed more Essure devices than any other single doctor.