Our Summary

This research paper describes a surgery technique that is less invasive for removing Essure, a device used for permanent birth control. Some patients want to remove this device due to pelvic pain. The technique used is called a bilateral cornuectomy, which is performed when the patient wants to keep their uterus. The procedure includes several steps, such as injecting a substance for blood control, cutting around the part of the uterus where the device is located, confirming entry into the uterus, removing the fallopian tube, and closing the layers of the uterus using a special suture. This method is recommended for patients who want to keep their uterus, as it reduces the risk of leaving parts of the device in the body, which could continue to cause symptoms.

FAQs

  1. What is the bilateral cornuectomy procedure described in the research paper?
  2. What are the benefits of this new procedure for patients wanting to remove the Essure device?
  3. Why is this method recommended for patients who want to keep their uterus?

Doctor’s Tip

One important tip a doctor might tell a patient about bilateral tubal ligation is to be aware of the permanent nature of the procedure. It is important to fully understand that this method of birth control is meant to be permanent and cannot be easily reversed. Patients should consider all their options and discuss their decision thoroughly with their doctor before proceeding with the surgery.

Suitable For

Patients who are typically recommended for bilateral tubal ligation include those who have completed their desired family size and do not wish to have any more children. This procedure is a permanent method of birth control and is often recommended for individuals who are certain they do not want to become pregnant in the future. It is also recommended for patients who have medical conditions that would make pregnancy dangerous for them or for patients who have a high risk of passing on genetic disorders to their offspring. Additionally, bilateral tubal ligation may be recommended for patients who have a history of contraceptive failure with other methods or who have a partner with a medical condition that would make pregnancy risky. Ultimately, the decision to undergo bilateral tubal ligation should be made in consultation with a healthcare provider, taking into consideration the individual’s unique circumstances and preferences.

Timeline

Before bilateral tubal ligation:

  1. Patient discusses permanent birth control options with their healthcare provider.
  2. Patient decides to undergo bilateral tubal ligation as a method of permanent contraception.
  3. Patient meets with their healthcare provider to discuss the procedure, risks, and benefits.
  4. Patient undergoes pre-operative testing and evaluation to ensure they are a suitable candidate for the surgery.
  5. Patient schedules the surgery and makes necessary arrangements for recovery.

After bilateral tubal ligation:

  1. Patient undergoes the bilateral tubal ligation surgery, which involves blocking or sealing off the fallopian tubes to prevent pregnancy.
  2. Patient recovers in the hospital or outpatient facility for a few hours to a day, depending on the surgical approach.
  3. Patient may experience some pain, discomfort, and spotting in the days following the surgery.
  4. Patient follows post-operative instructions provided by their healthcare provider, such as avoiding heavy lifting and sexual activity for a certain period of time.
  5. Patient attends a follow-up appointment to ensure proper healing and discuss any concerns or questions about the surgery.
  6. Patient resumes normal activities and enjoys the peace of mind that comes with permanent contraception.

What to Ask Your Doctor

  • What are the risks and benefits of undergoing a bilateral cornuectomy compared to other methods of Essure removal?
  • How long is the recovery time after a bilateral cornuectomy surgery?
  • What are the potential complications or side effects of a bilateral cornuectomy procedure?
  • Will I still be able to conceive after undergoing a bilateral cornuectomy?
  • How likely is it that all parts of the Essure device will be successfully removed during a bilateral cornuectomy surgery?
  • Are there any specific post-operative care instructions or restrictions I should follow after the procedure?
  • How soon after the surgery can I resume normal activities, such as exercise or sexual intercourse?
  • Will I need to follow up with you or another healthcare provider after the bilateral cornuectomy surgery? If so, how often and for how long?
  • Are there any alternative treatments or procedures that I should consider before deciding on a bilateral cornuectomy?
  • What is the success rate of a bilateral cornuectomy in relieving pelvic pain or other symptoms associated with the Essure device?

Reference

Authors: Carey-Love A, Orlando MS, Falcone T, King CR. Journal: J Minim Invasive Gynecol. 2023 Jul;30(7):535. doi: 10.1016/j.jmig.2023.04.008. Epub 2023 Apr 26. PMID: 37116745