title: [Intra uterine devices removal during office hysteroscopy: About 36 cases].
abstract: OBJECTIVE
  To assess effectiveness and patient tolerance of office hysteroscopy performed for the removal of intra-uterine devices (IUDs).
  
  
  METHODS
  Single center, retrospective study from May 2005 to June 2012. Analysis of the office hysteroscopy database only retrieving data concerning IUD removals: 36 hysteroscopies were performed for IUD removal with mean age of 40±7 years old (20-51), mean parity of 2.1±1.09 (0-5), and mean gestity of 2.5±1.14 (0-5). The indication was failure of IUD removal in an office setting, mostly because of non-visible sutures (33 cases, 91.6%), in 3 cases owing to broken sutures (8.4%). We performed then an office hysteroscopy using a 5.5mm hysteroscope. Either sutures or the IUD itself were grasped, then removed under visual control. Main end point was technique effectiveness, namely success or failure of IUD removal. Secondary end point equals to patient tolerance.
  
  
  RESULTS
  We included 36 patients. IUD removal was effective in 34 out of 36 cases (94.4% success rate). Patient tolerance was rated good for 12 patients (52%), acceptable for 10 (44%), poor for one (4%) and a vasovagal episode occurred in 3% of cases.
  
  
  CONCLUSIONS
  Office hysteroscopy performed to remove IUDs difficult to extract is an effective method, generally achieving good patient tolerance and reduced morbidity.
authors.affiliation: Service de gynécologie, CMCO, pôle d'obstétrique et de gynécologie, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, 67300 Schiltigheim, France. Electronic address: shenkin_himura@yahoo.fr.
authors.forename: A-J
authors.initials: AJ
authors.lastname: Carin
authors.affiliation: Service de gynécologie, CMCO, pôle d'obstétrique et de gynécologie, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, 67300 Schiltigheim, France. Electronic address: olivier.garbin@chru-strasbourg.fr.
authors.forename: O
authors.initials: O
authors.lastname: Garbin
mesh_terms: D000328:Adult; D020878:Device Removal / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D007434:Intrauterine Devices; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D019462:Syncope, Vasovagal / Q000209:etiology; D055815:Young Adult
keywords: Dispositifs intra-utérins; Hystéroscopie de consultation; Intra-uterine devices; Office hysteroscopy; Vaginoscopie; Vaginoscopy