The dislocation of iuds (intrauterine devices): analysis of 11 cases

The dislocation of iuds (intrauterine devices): analysis of 11


A. Kolusari, E. Erdemoglu, H.G. Sahin, S. Zeteroglu, G. Bolluk, M. Kamaci

Yuzuncu Yil University Med. Faculty Obs & Gyn Department,

Van, Turkey

Objective In this study,evaluation of the patients that underwent an operation

for IUD dislocation is aimed. 

Material and method The files of the patients that

referred to Obstetric and Gynecologic Clinic of Yüzüncü Yil University

Medical Faculty between January 1995 and December 2005 for IUD dislocation were

researched retrospectively.Sociodemographic features,diagnostic and treatment

methods of the patients were established. 

Results Ten of the totally 11 patients

underwent operation for IUD retention.In 4 cases; IUD was embedded into

endometrial cavity and curettage procedure was performed in one case for

pregnancy and IUD retention at an external center.Uterine perforation was seen

in 4 cases and bowel perforation was seen together with uterine perforation in

two of these 4 cases.IUD was embedded into sacrouterine ligament in one case of

two patients with uterine perforation and into posterior servix in the other

case.One case underwent total abdominal hysterectomy for myomatozis uteri and

IUD was seen embedded into myometrial tissue.Bicornate unicollis uterus was seen

during cesarean operation in one pregnant case with IUD; and IUD was detected in

the other cavity.In the last case,IUD was seen embedded into 10th cm of rectal

mucosa.IUD was removed with hysterescopy in 4 cases; with laparatomy in 4 cases;

with laparascopy in one case; with colpotomy through vagina in one case and with

rectosigmoidoscopy in one case.After these operations; complication was not seen

in any patient.

Conclusion The dislocation of IUD is seen rarely but causes

serious complications.In IUD dislocations, uterine and other organ perforations

must be recurred to the mind.

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