Un stérilet qui fait de plus en plus mal… où il ne suffit pas d’en voir les fils pour exclure une malposition !

Nohuz, E.; Battista, Rosario Pascual; Tamburro, S.; Leonenko, Marina; Bayeh, S.; Varga, J.; Mage, G.

doi:10.1016/j.gyobfe.2011.08.019

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…Faecal organisms from the anus could also be introduced into the vagina during cleaning by using the ascending route (back to front) instead of the descending route (front to back). It is not surprising to notice that most women included in the present study (91.4%) were used cooper IUCD compared with Marina type, only (8.6%) were used Marina, although the literature state that; the hormonal IUD Marina is considered to be more effective than other common forms of reversible contraception, such as the birth control pill, because it requires little to no action by the user after insertion (Argo & Turnbull 2010, Hofmeyr et al 2010, Nohuz et al 2012). The effectiveness of other forms of birth control is mitigated by the users themselves.…”

Section: Discussionmentioning

confidence: 72%

Association of infection among intrauterine contraceptive device users in family planning clinics in Sudan

Alawad

Bashir²

2014

IJH

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Background: Intrauterine contraceptive device (IUCD) is one of the most widely used methods of reversible birth control. Consequently, the existence and consequences of insertion, removal and associated infection have received little attentionObjective: To identify the type and to determine the incidence of infection associated with IUCD users through screening by culturing endocervical swabs.Methods: This is a descriptive, cross sectional, facility based study conducted in family planning clinics in Khartoum. This study was carried out on 35 ladies, attending the clinics during the period of study, using IUCD, presented for follow up, complaining or for removing the IUCD, who fulfilled the criteria of selection after obtaining an informed consent.Results: The incidence of positive culture swab among users was 65.0%. Among the study population, the age distribution was found to be varying between 24 and 39 years, taking a range of 4 years between groups of study population. Regarding complaint, vaginal discharge was found among 32 (91.4%) users, intermenstrual bleeding was present among 15 (42.9%) users, menorrhagia has been present in 11 (31.4%) users, abdominal discomfort was noticed among 6 (17.1%) users, and postcoital bleeding was present in 5 (14.3%) users. Result of swab culture shows that, 12 women (34%) of users culture of no growth, while 9 of them Staph.spp positive culture, there were 3 women (8.6%) users with culture result of E.coli, and 3 women (8.6%) users with culture result of candida albicans, there were 2 women (5.7%) users with culture result of coliform and other 2 women (5.7%) users with culture positive for trichomonas vaginalis.Conclusion: The study concluded that incidence of positive cultures among IUCD users was 65.0% and about two third of female in the family planning clinics had mild to moderate levels of infection. The most common isolated organisms among IUCD users in this study were Staph spp, E.coli and Candida .The study also showed high rate of removal of IUCD copper type and most of removal due to dyspareunia.

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Section: Discussionmentioning

confidence: 72%

Association of infection among intrauterine contraceptive device users in family planning clinics in Sudan

Alawad

Bashir²

2014

IJH

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“…[6] The IUD may be accidentally placed in intra-vesical through transurethral or by immediate uterine perforation, especially if it is set up by unexperienced paramedical staff. Many factors predispose to this migration, among other things, a embrittlement of myometer through multiple pregnancies and caesareans, an ante-or retro-shed uterus, hypoplastic and breastfeeding and probaly of an exagerated utierine involution and the endometrial atrophy due to the hypoestrogenism induced by lactation, the pose of IUD too early after childbirth [7,8]. The DIU migrates mainly in the peritoneal cavity (epiploon, wide lgament, retzius space), more rarely inside a viscera (ovarian, trumpe, rectum, sigmoid, appendix, bladder) as is the case in our patient or exceptionally intravascular (stenosis of the iliac vein), sometimes in subcutaneous fat [9].…”

Section: Discussionmentioning

confidence: 99%

Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case

Bah¹,

Mahoï²,

Gnammi³

et al. 2020

IJCU

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Intra uterine device (IUD) migration is a rare complication of female contraception. The mechanism for this migration is still poorly understood. Its association with a bilharzian bladder is exceptional. Urinary schistosomiasis is an endemic disease in our regions. A real public health problem, it affects poor populations of farmers and fishermen. And also women when they do their household chores in infested water. Through an observation, we analyze the clinical and therapeutic aspects of the intra vesical migration of an IUD on a bilharzian bladder. The diagnosis was made on a 31 years old patient who had an IUD 1 year 3 months ago. She had presented some urinary disorders such as dysuria, micturition burns and intermittent hematuria, evolving for 3 months. A urine pellet had highlighted Schistosoma haematobium eggs. After medical treatment and sterilization of the urine, the symptoms remained. A cystoscopy was performed which found the IUD in the bladder. There followed a surgical exploration by an under umbilical laparotomy for the removal of the IUD. Migration of the IUD into the bladder and bilharzian cystitis are two distincts nosologies afections but similar clinical manifestations. In both cases, a good clinical and paraclinical analysis makes it possible to make their diagnosis and ensure adequate management.

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“…1 Uterine perforation after IUD insertion is a rare accident; its incidence varies in the literature, 0.1 to 3/1000. [3][4][5][6][7] The perforation can occur in two ways: immediately during insertion, following a technical failure of installation. It may be secondary to a partial myometrial perforation during installation.…”

Section: Discussionmentioning

confidence: 99%

“…Hysterography is the second-line examination when the IUD cannot be located intrauterinally by ultrasound. 5 It will be performed under non-pregnancy state. In addition to having a wider field of vision than with ultrasound scanning, ingestion of iodinated contrast product followed by anterior/posterior and profile views gives a precise location of the IUD.…”

Section: Discussionmentioning

confidence: 99%

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Migration of intrauterine device into the pelvic cavity: exploration strategy and management in African environment

Diouf

Diallo

Gassama

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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IUD migration is a rare complication. We report our experience in the treatment of five cases of uterine perforation and migration of IUDs. The average age of patients was 34.6 years, an average parity was 4. All patients felt an unusual pain during insertion of the IUD Tcu 380A. The location of the IUD was done through ultrasound and hysterography. Removal by laparoscopy was performed in all cases. The immediate impacts of the surgery were simple. Hysterography has its place in the location of the migrated IUD. Prevention is a good IUD insertion technique.

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Un stérilet qui fait de plus en plus mal… où il ne suffit pas d’en voir les fils pour exclure une malposition !

Cited by 6 publications

References 10 publications

Association of infection among intrauterine contraceptive device users in family planning clinics in Sudan

Association of infection among intrauterine contraceptive device users in family planning clinics in Sudan

Migration of an Intra Uterine Device (IUD) on a Bilharzian Bladder: An Exceptional Fact About a Case

Migration of intrauterine device into the pelvic cavity: exploration strategy and management in African environment

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