Ultrasound-Guided Extraction of Intrauterine Devices with Nonvisible Threads: 254 Consecutive Cases: An Effective, Noninvasive Technique

Kottmann, C.; Troncoso, M.; Valenzuela, I.; Ugarte, C.; Diaz, P.; Monckeberg, M.; Illanes, S.E.

Journal of Ultrasound in Medicine Official Journal of the American Institute of Ultrasound in Medicine 38(11): 3073-3077

2019


ISSN/ISBN: 1550-9613
PMID: 30887558
DOI: 10.1002/jum.14986
Document Number: 691366
Intrauterine devices (IUDs) are among the most efficient and widely used contraceptive methods available. Removal is recommended after a certain time or in some cases when adverse effects are observed. A considerable number of patients have nonvisible guides or "lost threads" on speculum examinations, hindering the extraction. In this article, we report a consecutive series of 254 nonpregnant patients referred to our center after 1 or more failed attempts at IUD removal. We describe a novel ultrasound-guided approach, using a laparoscopic forceps to safely and effectively remove IUDs in nonpregnant patients.

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