Migration of Intra-Uterine Devices
Victoria Verstraeten,1,2 Karlien Vossaert,2 Thierry Van den Bosch1 1Obstetrics & Gynaecology - UZ Leuven Gasthuisberg, Leuven, Belgium; 2Obstetrics & Gynaecology – AZ Sint- Blasius Dendermonde, Dendermonde, BelgiumCorrespondence: Victoria Verstraeten, Email victoria.verstraeten@gmail.comAbst...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2024-03-01
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| Series: | Open Access Journal of Contraception |
| Subjects: | |
| Online Access: | https://www.dovepress.com/migration-of-intra-uterine-devices-peer-reviewed-fulltext-article-OAJC |
| _version_ | 1827319331379216384 |
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| author | Verstraeten V Vossaert K Van den Bosch T |
| author_facet | Verstraeten V Vossaert K Van den Bosch T |
| author_sort | Verstraeten V |
| collection | DOAJ |
| description | Victoria Verstraeten,1,2 Karlien Vossaert,2 Thierry Van den Bosch1 1Obstetrics & Gynaecology - UZ Leuven Gasthuisberg, Leuven, Belgium; 2Obstetrics & Gynaecology – AZ Sint- Blasius Dendermonde, Dendermonde, BelgiumCorrespondence: Victoria Verstraeten, Email victoria.verstraeten@gmail.comAbstract: Intrauterine devices (IUDs) are a widely used contraceptive. Possible complications from IUDs include failed insertion, pain, vasovagal reaction, infection, abnormal bleeding, and expulsion. Uterine perforation and migration of the IUD are rare complications occurring in approximately 1– 2 per 1000 insertions. We executed a systematic review by reviewing all case reports and case series on IUD migration, published between December 2002 and December 2022. Our review indicates that about half of these patients present with pain and that a third are completely asymptomatic. The most common sites of migration are the intestine, bladder, and omentum. We found that the preferred method for removing the migrated IUD is laparoscopy. Generally, there are no lasting injuries after the removal of the migrated IUD, but occasionally, severe complications have been reported. Healthcare providers should be vigilant about this rare complication, especially in cases of painful insertion or the presence of other risk factors for perforation. When uterine perforation is diagnosed, it is advisable to remove the IUD to prevent severe complications.Keywords: uterine perforation, missing IUD, long-acting reversible contraceptive, complication |
| first_indexed | 2024-04-25T00:18:00Z |
| format | Article |
| id | doaj.art-a97bb3eab232400892c8bc93520bdbdd |
| institution | Directory Open Access Journal |
| issn | 1179-1527 |
| language | English |
| last_indexed | 2024-04-25T00:18:00Z |
| publishDate | 2024-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Open Access Journal of Contraception |
| spelling | doaj.art-a97bb3eab232400892c8bc93520bdbdd2024-03-12T17:38:24ZengDove Medical PressOpen Access Journal of Contraception1179-15272024-03-01Volume 15414791167Migration of Intra-Uterine DevicesVerstraeten VVossaert KVan den Bosch TVictoria Verstraeten,1,2 Karlien Vossaert,2 Thierry Van den Bosch1 1Obstetrics & Gynaecology - UZ Leuven Gasthuisberg, Leuven, Belgium; 2Obstetrics & Gynaecology – AZ Sint- Blasius Dendermonde, Dendermonde, BelgiumCorrespondence: Victoria Verstraeten, Email victoria.verstraeten@gmail.comAbstract: Intrauterine devices (IUDs) are a widely used contraceptive. Possible complications from IUDs include failed insertion, pain, vasovagal reaction, infection, abnormal bleeding, and expulsion. Uterine perforation and migration of the IUD are rare complications occurring in approximately 1– 2 per 1000 insertions. We executed a systematic review by reviewing all case reports and case series on IUD migration, published between December 2002 and December 2022. Our review indicates that about half of these patients present with pain and that a third are completely asymptomatic. The most common sites of migration are the intestine, bladder, and omentum. We found that the preferred method for removing the migrated IUD is laparoscopy. Generally, there are no lasting injuries after the removal of the migrated IUD, but occasionally, severe complications have been reported. Healthcare providers should be vigilant about this rare complication, especially in cases of painful insertion or the presence of other risk factors for perforation. When uterine perforation is diagnosed, it is advisable to remove the IUD to prevent severe complications.Keywords: uterine perforation, missing IUD, long-acting reversible contraceptive, complicationhttps://www.dovepress.com/migration-of-intra-uterine-devices-peer-reviewed-fulltext-article-OAJCuterine perforationmissing iudlong-acting reversible contraceptivecomplication |
| spellingShingle | Verstraeten V Vossaert K Van den Bosch T Migration of Intra-Uterine Devices Open Access Journal of Contraception uterine perforation missing iud long-acting reversible contraceptive complication |
| title | Migration of Intra-Uterine Devices |
| title_full | Migration of Intra-Uterine Devices |
| title_fullStr | Migration of Intra-Uterine Devices |
| title_full_unstemmed | Migration of Intra-Uterine Devices |
| title_short | Migration of Intra-Uterine Devices |
| title_sort | migration of intra uterine devices |
| topic | uterine perforation missing iud long-acting reversible contraceptive complication |
| url | https://www.dovepress.com/migration-of-intra-uterine-devices-peer-reviewed-fulltext-article-OAJC |
| work_keys_str_mv | AT verstraetenv migrationofintrauterinedevices AT vossaertk migrationofintrauterinedevices AT vandenboscht migrationofintrauterinedevices |