[Current position of Essure(®) micro-insert in the management of hydrolsalpinges before in vitro fertilization].

Tubal diseases are a common cause of female infertility. Among them, hydrosalpinges are frequent. In addition, the presence of hydrosalpinges is a factor of failed attempts at in vitro fertilization (IVG). It is now well recognized that the management of hydrosalpinges prior attempts to medically assisted procreation increases the chances of pregnancy. Nowadays, laparoscopic salpingectomy is the treatment of choice but this therapeutic approach is not consensual and several other surgical techniques have been proven in this indication. Among these, the exclusion of hydrosalpinx by laying Essure(®) micro-inserts seems promising. Currently, seven studies have been published on the topic with generally positive results. The purpose of this article is to review the various possible methods to treat hydrosalpinx before IVF and especially to define the role of Essure(®) micro-inserts.