Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Nov;38(11):3073-3077.
doi: 10.1002/jum.14986. Epub 2019 Mar 18.

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

Cristian Kottmann  1   2 , Maite Troncoso  1   2 , Ignacio Valenzuela  1   2 , Carolina Ugarte  1 , Pilar Diaz  1 , Max Monckeberg  1 , Sebastian E Illanes  1
Affiliations

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

Cristian Kottmann et al. J Ultrasound Med. 2019 Nov.

Abstract

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.

Keywords: extraction; intrauterine device; lost; removal; retained; ultrasound; ultrasound-guided.

PubMed Disclaimer

References

    1. Buhling KJ, Zite NB, Lotke P, Black K; INTRA Writing Group. Worldwide use of intrauterine contraception: a review. Contraception 2014; 89:162-173.
    1. Charonis G, Larssson PG. Prolonged use of intrauterine contraceptive device as a risk factor for tubo-ovarian abscess. Acta Obstet Gynecol 2009; 88:680-684.
    1. Sakinci M, Ercan CM, Olgan S, Coksuer H, Karasahin KE, Kuru O. Comparative analysis of Copper intrauterine device impact on female sexual dysfunction subtypes. Taiwan J Obstet Gynecol 2016; 55:30-34.
    1. Barnett C, Moehner S, Do Minh T, Heinemann K. Perforation risk and intra-uterine devices: results of the EURAS-IUD 5-year extension study. Eur J Contracept Reprod Health Care 2017; 22:424-428.
    1. Bounds W, Hutt S, Kubba A, Cooper K, Guillebaud J, Newman GB. Randomised comparative study in 217 women of three disposable plastic IUCD thread retrievers. Br J Obstet Gynaecol 1992; 99:915-919.

LinkOut - more resources