Kauser Jillani, Razia Bahadur Khero, Safia Maqsood.
Diagnosis and management of misplaced intrauterine contraceptive device (IUCD).
Pak J Surg Jan ;26(2):151-4.

Objective: To diagnose the misplaced IUCD and its management. Design & Setting: Th is observational cross sectional study was conducted in the Department of Obstetrics & Gynaecology at Peoples Medical College & Hospital Nawabshah from 1st January 2006 to 31st December 2007. Material & Methods: All the patients referred or presented with lost string or misplaced IUCD were enrolled in the study. A proforma was designed containing information regarding patient’s age, parity, place where IUCD was inserted and by whom, time duration of IUCD, presenting complaints, ultrasound and or x-ray fi ndings, mode of IUCD retrieval, its location and complication. Results: Out of 22 admitt ed patients of misplaced IUCD, device was found in the uterus of 12 (54.54 %) patients. It was removed by curett e or retrieval hook in 10 (45.45 %) patients, while in 02 (09.09 %) patients removal was accomplished with hysteroscope. In 09 (40.90 %) patients, it was translocated to the peritoneal cavity and in one (04.54 %) patients completely migrated to bladder and was removed by cystoscopy. In the majority of the patients (81.81 %), device were inserted by LHVs and Dais. Conclusion: Awareness of people about this safe, valuable and reversible method of contraception, its easy availability and the provision of trained personnel for its insertion as well as a regular follow-up is needed in developing countries.

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