Minimally invasive surgical approach to retrieve migrated intrauterine contraceptive device

Abstract

Background: To present experience with clinical presentation, diagnosis and minimally invasive removal of migrated intrauterine contraceptive device (IUD). Methods: A total of 6 patients were included in retrospective study. Diagnosis was based on clinical presentation, TVS and Abdominopelvic X- ray. Minimally invasive approach was utilized to remove migrated IUD. Results: The mean (range) age of the patient was 36.6 (26-55) years. The mean (range) of parity was 3.5 (2-6). The mean (range) duration of IUD use was 8.1 (3-25) years. Five patients had TCu380A IUD. One patient had Lippes loop type of IUD. Three patients underwent laparoscopy, two had hysteroscopy and one had cystoscopy, for removal of IUD. The mean (range) operative time was 40.8 (18-76) mins. No anesthesia or surgery related complications were observed intraoperatively. The mean (range) duration of hospital stay was 34 (24-48) hours. The postoperative course was uneventful and all the patients were followed for 3-6 months period of time with no complaints. Conclusion: Removal of migrated IUDs is recommended in symptomatic and asymptomatic patients using minimally invasive approach. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000): 147-151

Misplaced IUCD: a case report

“…5,6 The reported incidence of the transmigration of the IUCD from the uterus to the neighboring organs is 1-3/1000 IUCD insertions. 2 The incidence of transmigration is affected by the several factors which includes parity, timing of IUCD insertion, uterine position, past history of abortions, type of IUCD and the operator experience.…”

“…2 The incidence of transmigration is affected by the several factors which includes parity, timing of IUCD insertion, uterine position, past history of abortions, type of IUCD and the operator experience. 5 Out of these risk factors, chance of uterine perforation is maximum at the time of IUCD insertion. 7 Moreover the incorrect positioning of the IUCD is the result of faulty technique and insertion by insufficiently trained staff.…”

Intravesical Migration of Intrauterine Device and Calculi Formation 12 Years Post Missing: A Case Report

“…IUDs misplaced in the abdominal cavity can be evaluated by CT scan for almost exact localization [5]. All transvesical migrated IUDs must be removed even if they are symptomless, to prevent bladder rupture and calculi formation [22].…”

“…IUD could cause complications ranged from mild discomfort to sepsis leading to death [4]. Some of its uncommon complications include infection, bleeding, ectopic pregnancy and uterine perforation [5] [6]. Uterine perforation by IUD can occur in an incidence of 1 -3 in 1000 insertions [7].…”

Migration of intrauterine devices with radiological findings: report on two cases

“…Although IUDs are effective, various complications, including bleeding, infection, ectopic pregnancy and uterine perforation, have been identified 2. The uterine wall might be eroded completely or partially by an IUD, causing uterine perforation, with an incidence of 0–1.3/1000 insertions 3.…”