essure
Essure Vasectomy
Description Soft, flexible inserts are delivered through the vagina and uterus and placed in each fallopian tube, without an incision. A natural barrier forms around the inserts that prevents sperm from reaching the eggs. The scrotal area is shaved and cleaned with an antiseptic solution. An incision or puncture is made into the scrotum (the sac containing the testicles).
The two vas deferens tubes are tied in two places with permanent sutures. The tubes are severed between the ties by one of three methods:
  • Burning a portion of the tube
  • Cutting
  • Blocking with clips or clamps that remain in the body
Stitches or staples are used to close the cuts.
Failure Rate 0.05% at 1 year
0.26% at 5 years
0.74% at 1 year
1.13% at 5 years
Recovery time 1–2 days or sooner 2-3 days
Pain/discomfort
  • Cramps
  • Discharge
  • Bruising
  • Pain and swelling in the testicles
Proof of effectiveness Yes. Three months after the procedure, the Essure Confirmation Test confirms placement. Yes. A follow-up sperm count test is performed 3 months after the vasectomy to confirm no sperm is evident.