OFFICE HYSTEROSCOPY FOR MISSING THREADS INTRAUTERINE CONTRACEPTIVE DEVICE REMOVAL: A PROSPECTIVE STUDY

AARTI SHARMA; RAHIL KUMAR SHARMA; ALLURI RAJYALAXMI; RACHANA GHANTI

doi:10.22159/ajpcr.2025v18i5.54193

Authors

AARTI SHARMA Department of Obstetrics and Gynecology, Atal Bihari Vajpayee Government Medical College, Vidisha, Madhya Pradesh, India
RAHIL KUMAR SHARMA Department of Radiodiagnosis, Atal Bihari Vajpayee Government Medical College, Vidisha, Madhya Pradesh, India
ALLURI RAJYALAXMI Department of Obstetrics and Gynecology, Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, India.
RACHANA GHANTI Department of Obstetrics and Gynecology, KLE JGMMC, Hubli, Karnataka, India.

DOI:

https://doi.org/10.22159/ajpcr.2025v18i5.54193

Keywords:

Hysteroscopy,, Intrauterine contraceptive device, Missing threads, Post-placental intrauterine contraceptive device

Abstract

Objectives: The objective of the study was to estimate the success rate of office hysteroscopy for removal of intrauterine contraceptive device (IUCD) with missing threads.

Methods: This prospective study included 11 women who underwent office hysteroscopy for IUCD removal. The procedure was performed using a hysteroscope 2.9 mm diameter and 4.3 mm inner operative sheath and 5 mm outer sheath was used without anesthesia. 5 fr flexible grasper used. Patient demographics, procedure time, success rate, and complications were recorded.

Results: The mean procedure time was 2.9 min. The overall success rate was 90%. 63% reported mild pain during the procedure which did not require analgesic. No major complications were noted. 63% of patients who had a history of unsuccessful removal by a conventional method, they all reported less pain during office hysteroscopy.

Conclusion: Office hysteroscopy is a safe, effective, and feasible method for IUCD removal. It offers several advantages over traditional blind removal methods, including reduced procedure time, improved success rate, and enhanced patient comfort.

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References

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