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.14986Document 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.