Objective To evaluate the efficacy and acceptability of the Macaluso stent removal forceps for removal of retained intrauterine devices (IUDs) under direct vision using a hysteroscope in an outpatient setting.Methods Nineteen consecutive patients with a retained IUD who had been referred from primary care to the gynaecologists at the Conquest Hospital, Hastings, UK were included in the study. Attempts were made to remove the IUDs under direct vision using the Gynecare Versascope ® and Macaluso forceps. ResultsThe procedure was successful in 18/19 (94.7%) patients. The patients tolerated the procedure well and none of them complained of severe pain. ConclusionThis device is simple, safe, effective and acceptable for the removal of IUDs with lost threads. G The Macaluso stent removal forceps is a useful device for hysteroscopic IUD removal.

Objective To report the case histories of two patients who presented with haematometra and haematosalpinx 18 and 24 months after endometrial ablation. Design This is a retrospective case note analysis. Subjects A 51‐year‐old woman, who had undergone endometrial ablation 18 months previously, presented with acute abdominal pain. She was known to be taking continuous combined hormone replacement therapy. Pelvic ultrasound scan showed a large cystic mass, and diagnostic laparoscopy revealed a right haematosalpinx. She underwent right salpingectomy and was pain‐free after the operation. A 48‐year‐old woman presented with lower abdominal pain 2 years after endometrial balloon ablation. The ultrasound scan of the pelvis showed a haematometra (4.4 × 2.6 × 3.3 cm). She underwent examination under anaesthesia (EUA), dilation and drainage of the haematometra. A few weeks later she had a recurrence and underwent hysterectomy. Conclusion As more ablation procedures are performed, more delayed complications will arise.