Twelve-year experience of office-setting removal of lost intrauterine devices in place for more than 10 years

Abstract

Objective: We investigated the effectiveness of removing lost intrauterine devices (IUDs) that had been in place for over 10 years, using Lin's biopsy grasper in an office setting.

Methods:This single-centre, retrospective study conducted between March 2006 and June 2018 included 49 women who had had an IUD in place for contraception for more than 10 years and who underwent removal of the lost IUD using Lin's biopsy grasper under transabdominal sonography without use of a tenaculum, anaesthesia and analgesia, after dilation of the cervical os and hysteroscopy.

Results: The women's median age was 52 years (range 34–80 years) and the median duration of insertion was 17 years (range 10–43 years). Forty-eight (98%) women had their lost IUD removed using Lin's biopsy grasper. Among the removed IUDs, there were eight FD-1 IUDs with a string, 13 FD-1 IUDs without a string, 13 Chinese IUDs, seven Ota ring IUDs, three KS ring IUDs, two Saf-T-Coil IUDs, two Lippe loop IUDs and one Wing IUD. All women tolerated the procedure and there were no major operative complications.

Conclusions: Lin's biopsy grasper was effective in removing IUDs that had been in place for a long time.

摘要

目的：我们调查在门诊环境中用林氏活检钳移除放置了10年以上的异位宫内节育器（IUDs）的有效性。

方法：这项单独的回顾性研究, 研究了2006年3月至2018年6月, 包括49例用IUD避孕超过10年的女性, 在宫颈扩张和宫腔镜检查后, 不用支持带、麻醉和阵痛的情况下, 经腹部超声下用林氏活检钳移除异位宫内节育器。

结果：女性的中位数年龄为52岁（34-80岁）, 安置宫内节育器时间的中位数时间为7年（10-43年）。48名（98%）女性用林氏活检钳取出她们的异位IUD。在取出IUDs中, 有8枚FD-1 带环IUDs, 13枚FD-1 无环IUDs, 13枚中国IUDs, 7枚Ota环IUDs, 3枚KS环IUDs, 2枚双圈T形IUDs, 1枚翼型IUD。所有的女性均接受了该种操作过程, 且未出现重大的手术并发症。

结论：林氏活检钳在移除放置了很长时间的IUDs方面是有效的。

Keywords:

• Contraception
• grasper
• hysteroscopy
• intrauterine device

Acknowledgements

The authors are grateful to the medical staff of the gynaecological units of Kawasaki Municipal Kawasaki Hospital for their excellent patient care. We would like to thank Editage (www.editage.jp) for their English language editing.

Disclosure statement

None of the authors have any potential conflicts of interest relevant to this article.