Surgical Techniques for Hysteroscopic Removal of an Embedded IUD Fragment

Abstract

Study Objective

Demonstrate various hysteroscopic techniques that can be utilized for successful removal of a deeply embedded IUD arm

Design

Case report

Setting

OR with patient in dorsal lithotomy position

Patients or Participants

29 year old G0 who originally presented for copper IUD removal and one IUD arm was retained.

Interventions

Various imaging techniques to locate the IUD arm as well as both in office and OR hysteroscopy

Measurements and Primary Results

IUD arm was successfully removed utilizing hysteroscopic morcellator and sharp/blunt dissection

Conclusion

We demonstrate how a hysteroscopic morcellator can be utilized in addition to sharp and blunt dissection to identify and remove a deeply embedded IUD arm.