Original Investigation

Mislocated extrauterine intrauterine devices: Diagnosis and surgical management

10.5152/jtgga.2015.15243

  • Mustafa Kaplanoğlu
  • Mehmet Bülbül
  • Tuncay Yüce
  • Dilek Kaplanoğlu
  • Meral Aban

Received Date: 23.01.2015 Accepted Date: 29.03.2015 J Turk Ger Gynecol Assoc 2015;16(2):91-95 PMID: 26097391

Objective:

Presentation of the diagnostic and surgical treatment methods of our extrauterine intrauterine device (IUD) cases.

Material and Methods:

We retrospectively evaluated the data of 21 extrauterine IUD cases at our clinic between 2008 and 2010. The symptoms, diagnostic methods, and surgical treatments were evaluated.

Results:

A total of 14 copper and seven levonorgestrel (LNG) IUDs were used. IUD had been inserted during lactation in 71.4% of the patients. The reasons for presentation of patients were unintended pregnancy in 19.05%, pelvic pain in 19.05%, and pelvic pain with vaginal bleeding in 23.8%. IUD in two patients were located the retroperitoneal area. IUD string had not been visible during routine follow-up in 38.1% of the patients. Laparoscopy was performed in 14 patients and laparotomy was performed for dense adhesions in seven patients.

Conclusion:

Extrauterine IUDs can present with various clinical symptoms. Ultrasonography and X-Ray are sufficient for the diagnosis. Surgical removal is needed to prevent possible complications, and the preferred surgical technique in appropriate patients is laparoscopy.

Keywords: Extrauterine IUD, surgery, contraception