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A novel device for removal of the retained intrauterine device
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  1. Shamprasad P Konamme, MRCOG, Specialist Registrar in Obstetrics and Gynaecology,
  2. Barry J Auld, FRCOG, Consultant in Obstetrics and Gynaecology and
  3. Jamal Zaidi, MD, FRCOG, Consultant in Obstetrics and Gynaecology
  1. Department of Obstetrics and Gynaecology, Conquest Hospital, St Leonards on Sea, UK
  1. Correspondence to Dr S P Konamme, Department of Obstetrics and Gynaecology, Royal Victoria Infirmary, Leazes Wing, Queen Victoria Road, Newcastle-upon-Tyne NE1 4LP, UK. E-mail: skonamme{at}aol.com

Abstract

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.

Results The procedure was successful in 18/19 (94.7%) patients. The patients tolerated the procedure well and none of them complained of severe pain.

Conclusion This device is simple, safe, effective and acceptable for the removal of IUDs with lost threads.

https://doi.org/10.1783/147118906776276350

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