Clinical problem caused by intrauterine devices with missing tails
Scaglione, V.; Casati, G.
Minerva Ginecologica 31(3): 147-152
1979
ISSN/ISBN: 0026-4784 PMID: 530452 Document Number: 153773
The cases of disappearance of IUD strings are numerous; complications can offur only if the disappearance is caused by dislocation of the device inside the uterine cavity, in which case uterine perforation is possible. Hysterography is advisable in difficult cases, surgical removal of the IUD in most other cases. This article reports 12 cases of disappearance of IUD strings; in 3 cases the strings were discovered in the endocervix, in 7 cases dilatation of the cervix was necessary, and in 2 cases laparotomy was performed. Diagnosis for the proper retrieval of IUD strings should be made according to every specific case. It must also be remembered that a correct technique of IUD insertion can often avoid later complications, and should at all times be performed by specialist only.