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Published on: October 9, 2018
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Migration of Intra-Uterine Devices
Victoria Verstraeten1,2, Karlien Vossaert2, Thierry Van den Bosch1
1Obstetrics & Gynaecology - UZ Leuven Gasthuisberg, Leuven, Belgium.
Open Access Journal of Contraception
|March 18, 2024
Summary
Intrauterine devices (IUDs) rarely migrate after uterine perforation. Half of patients experience pain, while a third are asymptomatic. Laparoscopic removal is preferred, usually resulting in no lasting injuries.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Surgery
- Gynecology
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Complications include pain, infection, and expulsion.
- Rarely, IUDs can perforate the uterus and migrate.
Purpose of the Study:
- To systematically review case reports and series on IUD migration.
- To understand the clinical presentation, migration sites, and management of migrated IUDs.
Main Methods:
- Systematic review of case reports and series on IUD migration.
- Literature search from December 2002 to December 2022.
Main Results:
- Half of patients with migrated IUDs present with pain; one-third are asymptomatic.
- Common migration sites include the intestine, bladder, and omentum.
- Laparoscopy is the preferred removal method, with generally good outcomes.
Conclusions:
- Healthcare providers must be vigilant for IUD migration, especially with risk factors for perforation.
- Prompt IUD removal after diagnosing uterine perforation can prevent severe complications.
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