Management of lost intrauterine devices in Mandalay General Hospital

ABSTRACT

The problem of the patients seeking management for 'LOST' IUCs is focussed. The nature of widespread application with respect to regional distribution, personnels, and patient's characteristics, and symptomatology are presented. The radiological diagnostic features or the cases are presented particularly with reference to translocation, double loop insertion and uterine perforation. Hysteroscopy is introduced as a diagnostic procedure. The treatment is mainly be dilatation and curettage; but operative hysteroscopy is highlighted for removal with minimal intrauterine manipulation. The problems of the IUC users is discussed followed by the formulation of same guidelines for the prevention and treatment of serious side effects.