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A solution to the problem of "missing" IUD threads.

M Pap de Pestény, F Solheim, M Akerlund

    Acta Obstetricia Et Gynecologica Scandinavica
    |January 1, 1986
    PubMed
    Summary
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    A new sterile instrument, Retrievette, effectively retrieves missing intrauterine contraceptive device (IUD) threads in most cases. This simplifies IUD management and avoids complex procedures for women with missing IUD strings.

    Area of Science:

    • Gynecology
    • Medical Devices
    • Reproductive Health

    Background:

    • Missing threads of intrauterine contraceptive devices (IUDs) can complicate routine gynecological care.
    • Current methods for locating missing IUD threads may involve complex imaging or invasive procedures.

    Purpose of the Study:

    • To evaluate the efficacy of a novel disposable instrument, Retrievette, for retrieving missing IUD threads.
    • To determine if Retrievette can simplify the management of missing IUD threads and avoid more invasive interventions.

    Main Methods:

    • A sterile, disposable instrument (Retrievette) was developed for IUD thread retrieval.
    • The instrument was tested in 80 patients presenting with missing IUD threads during routine gynecological investigations.

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    Main Results:

    • Retrievette successfully retrieved IUD threads in 64 out of 80 patients.
    • Reasons for non-retrieval included IUD expulsion (6), short threads (5), uterine perforation (1), inversion (1), and method failure (1).
    • The instrument facilitated easy retrieval through the cervical canal in successful cases.

    Conclusions:

    • The Retrievette instrument is an effective tool for retrieving missing IUD threads.
    • Its use can help physicians avoid more complicated procedures like ultrasonic or X-ray localization and anesthesia-assisted extraction.