<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Franchini, Mario</style></author><author><style face="normal" font="default" size="100%">Zizolfi, Brunella</style></author><author><style face="normal" font="default" size="100%">Coppola, Carmela</style></author><author><style face="normal" font="default" size="100%">Bergamini, Valentino</style></author><author><style face="normal" font="default" size="100%">Bonin, Cecilia</style></author><author><style face="normal" font="default" size="100%">Borsellino, Giovanni</style></author><author><style face="normal" font="default" size="100%">Busato, Enrico</style></author><author><style face="normal" font="default" size="100%">Calabrese, Stefania</style></author><author><style face="normal" font="default" size="100%">Calzolari, Stefano</style></author><author><style face="normal" font="default" size="100%">Fantin, Gian Piero</style></author><author><style face="normal" font="default" size="100%">Giarrè, Giovanna</style></author><author><style face="normal" font="default" size="100%">Litta, Piero</style></author><author><style face="normal" font="default" size="100%">Luerti, Massimo</style></author><author><style face="normal" font="default" size="100%">Mangino, Francesco Paolo</style></author><author><style face="normal" font="default" size="100%">Marchino, Gian Luigi</style></author><author><style face="normal" font="default" size="100%">Molinari, Maria Antonietta</style></author><author><style face="normal" font="default" size="100%">Scatena, Elisa</style></author><author><style face="normal" font="default" size="100%">Scrimin, Federica</style></author><author><style face="normal" font="default" size="100%">Telloli, Paolo</style></author><author><style face="normal" font="default" size="100%">Di Spiezio Sardo, Attilio</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Essure Permanent Birth Control, Effectiveness and Safety: An Italian 11-Year Survey.</style></title><secondary-title><style face="normal" font="default" size="100%">J Minim Invasive Gynecol</style></secondary-title><alt-title><style face="normal" font="default" size="100%">J Minim Invasive Gynecol</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Adult</style></keyword><keyword><style  face="normal" font="default" size="100%">Fallopian Tubes</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Follow-Up Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Hypersensitivity</style></keyword><keyword><style  face="normal" font="default" size="100%">Hysterosalpingography</style></keyword><keyword><style  face="normal" font="default" size="100%">Hysteroscopy</style></keyword><keyword><style  face="normal" font="default" size="100%">Italy</style></keyword><keyword><style  face="normal" font="default" size="100%">Laparoscopy</style></keyword><keyword><style  face="normal" font="default" size="100%">Middle Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Nickel</style></keyword><keyword><style  face="normal" font="default" size="100%">Pain</style></keyword><keyword><style  face="normal" font="default" size="100%">Pregnancy</style></keyword><keyword><style  face="normal" font="default" size="100%">Pregnancy, Unplanned</style></keyword><keyword><style  face="normal" font="default" size="100%">Retrospective Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Sterilization, Reproductive</style></keyword><keyword><style  face="normal" font="default" size="100%">Sterilization, Tubal</style></keyword><keyword><style  face="normal" font="default" size="100%">Surveys and Questionnaires</style></keyword><keyword><style  face="normal" font="default" size="100%">Young Adult</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2017</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2017 May - Jun</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">24</style></volume><pages><style face="normal" font="default" size="100%">640-645</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;b&gt;STUDY OBJECTIVE: &lt;/b&gt;To describe safety, tolerability, and effectiveness results through a minimum 2-year follow-up of patients who underwent permanent sterilization with the Essure insert.&lt;/p&gt;&lt;p&gt;&lt;b&gt;DESIGN: &lt;/b&gt;A retrospective multicenter study (Canadian Task Force classification II2).&lt;/p&gt;&lt;p&gt;&lt;b&gt;SETTING: &lt;/b&gt;Seven general hospitals and 4 clinical teaching centers in Italy.&lt;/p&gt;&lt;p&gt;&lt;b&gt;PATIENTS: &lt;/b&gt;A total of 1968 women, mean age 39.5 years (range, 23-48 years) who underwent office hysteroscopic sterilization using the Essure insert between April 1, 2003, and December 30, 2014.&lt;/p&gt;&lt;p&gt;&lt;b&gt;INTERVENTION: &lt;/b&gt;The women underwent office hysteroscopic bilateral Essure insert placement, with satisfactory device location and tube occlusion based on hysterosalpingography or hysterosalpingo-contrast sonography (HyCoSy).&lt;/p&gt;&lt;p&gt;&lt;b&gt;MEASUREMENTS AND MAIN RESULTS: &lt;/b&gt;Placement rate, successful bilateral tubal occlusion, perioperative adverse events, early postoperative (during the first 3 months of follow-up), and late complications were evaluated. Satisfactory insertion was accomplished in 97.2% of women and, in 4, perforation and 1 expulsion were detected during hysterosalpingography. Three unintended pregnancies occurred before the 3-month confirmation test. Two pregnancies were reported among women relying on the Essure inserts. Postprocedure pain was minimal and brief; in 9 women, pelvic pain became intractable, necessitating removal of the devices via laparoscopy. On telephone interviews, overall satisfaction was rated as &quot;very satisfied&quot; by the majority of women (97.6%), and no long-term adverse events were reported.&lt;/p&gt;&lt;p&gt;&lt;b&gt;CONCLUSION: &lt;/b&gt;The findings from this extended Italian survey further support the effectiveness, tolerability, and satisfaction of Essure hysteroscopic sterilization when motivated women are selected and well informed of the potential risks of the device. Moreover, the results do not demonstrate an increased incidence of complications and pregnancies associated with long-term Essure use. Patients with a known hypersensitivity to nickel may be less suitable candidates for the Essure insert.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">4</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/28232037?dopt=Abstract</style></custom1></record></records></xml>