Transanal Removal of Misplaced Intrauterine Contraceptive Device

Abstract

Intrauterine contraceptive devices are among the most effective forms of contraceptives worldwide. However few complications have been associated with it including uterine perforation which may lead to bowel injury. This is a case of 34-year-lady who had Intra Uterine Copper Device (IUCD) placed 6 years ago. She presented with feeling of strings of IUCD through anus, low backache, and non-cyclical bleeding per rectum for last four months. On sigmoidoscopy, a Copper-T Device was found lodged in anterior rectal wall, which was successfully removed with mild traction transanally. A simple clinical examination i.e digital rectal examination followed by proctosigmoidoscopy, diagnosed and led to complete treatment of the patient, with no post-operative complications.

Why Pakistani Women Do Not Use Intrauterine Contraceptive Devices: A Systematic Review of Barriers and Misconceptions

“…To avoid or tackle it in time, the client must be educated about self-examination of the threads [24]. Cases with perforations and pelvic abscesses are, though, rare but reported in Pakistan, with the main issue of the client's lack of knowledge of self-examination [25,26]. Some also complained about pain, excessive bleeding, even related to obesity and hypertension, and infecundity [16,19].…”