Essure Tubal Occlusion

On November 5, 2007 our facility performed the first Essure Tubal Reversal, not only was it a first for our facility but to our knowledge we are the only facility that has done such procedure. The Essure device has only been available for 5 years, but we are now starting to see a higher number of requests to have this type of tubal occlusion reversed.

The Essure device is supposed to be permanent and NOT REVERSIBLE, but at Lakeshore Surgical Center we have developed special instruments to perform this procedure.

The procedure to reverse an Essure is different then a standard tubal reversal. What is required is called a tubocornual implantation. The old way to do a tubocornual implantation was very hard to do and left the patient requiring a cesarean section for future pregnancies. With the way we perform this procedure at our facility this is no longer the case.

To do this type of reversal, the Essure device needs to be first carefully removed (we give them back to you). The next step is to make a tiny, perfectly round hole in the wall of the uterus. Once the uterus is prepared, the tube is sewn deep into the lining of the womb. The tube is next sewn to the outside of the uterus to seal it off.

After the repair is completed, we look inside the womb with a tiny camera to make sure the tube is where it belongs.

The final step is the same for all reversals done here at Lakeshore Surgical Center, we dye test the tube to make sure it has been sewn open.

We have just started to perform the Essure reversals at Lakeshore Surgical Center, and it will take a year to tell how successful our patients have been in getting pregnant after their reversal. We expect that our Essure reversals will work just as well as our other reversals, because the Essure device leaves a lot of healthy tube to use.

The charge more to do an Essure reversal is higher than our standard fee. Everything that is included in our normal fee is included with the Essure reversal, but because it takes two doctors to perform this procedure and it an additional hour to do our fee is a little bit higher.

Please call our office and speak with one of our Case Management Specialist and they will be able to answer any questions you may have.