The aim of this randomized controlled study is to compare the pain experienced during extraction of retained IUD by office hysteroscopy with the pain experienced during extraction of retained IUD under ultrasound guidance . Moreover, the success of both procedures was compared. Various subgroups (patients who delivered only by Caesarean section, patients who delivered virginally, nulliparous women and menopausal patients) in both groups are compared.
Patients with retained IUD
Active pelvic infection
Viable intrauterine pregnancy
Cervical pathology
Parallel
Office hysteroscopy
Procedure/SurgeryA rigid 2.9 mm hysteroscope with 30° forward oblique lens and outer sheath diameter of 5 mm will be used in the procedure. Vaginoscopic approach will be used. A 5 F grasper will be used to grasp and extract the IUD. Pain intensity will be assessed by visual analogue scale immediately after the procedure.
Ultrasound guided
Procedure/SurgeryAn alligator forceps will be introduced into the uterine cavity under ultrasound sound guidance. The IUD will be grasped and extracted outside the uterus. Pain intensity will be assessed by visual analogue scale immediately after the procedure.
Intensity of pain
Measured after the procedure using a 10 cm Visual analogue scale ( where 0 indicates no pain') and 10 indicates a 'pain as bad as it could possibly be')
Success of IUD extraction
Percentage of successfully extracted IUD (number of extracted IUDs / total number of retained IUDs)
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Cairo University
Lead sponsor
Bedaya Hospital
Collaborator
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