Radiologic Aids to Localization of an Extrauterine Intrauterine Contraceptive Device

Toppozada, Hussein K.; Rizk, Mohamed M.; Khowessah, M.; Loutfi, Issa; Hamdi, Abdelaziz; Deeb, A. El

doi:10.1016/s0015-0282(16)39549-8

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…A single antero-posterior X-ray film was taken. If the sound did not seem to be in contact with the IUD or was completely overlapping it, another film in the lateral position was also taken to give a three dimensional idea of the relation of the loop to the sound [12] (Figures 1 and 2). …”

Section: Methodsmentioning

confidence: 99%

The value of X-ray with uterine sound in the diagnosis of IUDs with missing tails

Kady¹,

Rifat²,

Hosseiny³

et al. 1986

Adv Contracept

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Missing IUD tails may result from expulsion, retraction of filaments, uterine perforation or pregnancy. Missing IUD tails occur in 5-25% of all IUD insertions, and require a safe and correct diagnostic technique. Plain X-ray with uterine sound in utero is a popular, simple technique which does not require special skills. This study discusses the feasibility and accuracy of this method in 104 women presenting with a history of missed IUD. Twenty women with suspected pregnancy or uterine abnormalities were excluded from the study. The diagnosis was verified by examination of the patient under anesthesia, D & C, laparoscopy or laparotomy. The accuracy rate was 95.23% (80 women). The diagnosis was wrong in 4.76% (4 women) where the X-ray technique wrongly diagnosed intrauterine location of the device, while examination under anesthesia and laparoscopy located these 4 devices in an extrauterine location. Through the use of this technique it was possible to reduce the hospital stay to one day in 95% (80 patients). The technique is feasible, reliable and without complications; it is particularly suitable in hospitals where other diagnostic facilities are not available.

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Section: Methodsmentioning

confidence: 99%

The value of X-ray with uterine sound in the diagnosis of IUDs with missing tails

Kady¹,

Rifat²,

Hosseiny³

et al. 1986

Adv Contracept

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show abstract

“…Locating an intrauterine contraceptive device (IUD) with "missing" threads has traditionally been attempted by diagnostic roentgenography (1,14). More recently, ultrasonography (16) and hysteroscopy (15) have been used.…”

Section: Introductionmentioning

confidence: 99%

The Use of a Karman Cannula and Suction to Manage a Retained IUD with Retracted Thread

Goh

1978

International Journal of Gynecology & Obstetrics

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The overhanging hoods of the Karman cannula may be used to retrieve an intrauterine device (IUD) when the threads are no longer visible. Conventional methods used for this purpose operate similarly but may fail where the device has no convolutions that can be hooked or grasped. The suction applied via the Karman syringe helps engangle the threads with the cannula hoods, thereby helping extract the device. Prior radiologic diagnostic procedures are unnecessary and are thus reduced to a minimum. The Karman suction cannula was evaluated and found to be a safe, effective and acceptable means of locating and removing an IUD when the thread is retracted.

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Uterine perforation

Edelman¹,

Berger²,

Keith³

1979

Intrauterine Devices and Their Complications

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Radiologic Aids to Localization of an Extrauterine Intrauterine Contraceptive Device

Cited by 3 publications

References 3 publications

The value of X-ray with uterine sound in the diagnosis of IUDs with missing tails

The value of X-ray with uterine sound in the diagnosis of IUDs with missing tails

The Use of a Karman Cannula and Suction to Manage a Retained IUD with Retracted Thread

Uterine perforation

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