OFFICE HYSTEROSCOPY FOR MISSING THREADS INTRAUTERINE CONTRACEPTIVE DEVICE REMOVAL: A PROSPECTIVE STUDY

Objectives: The objective of the study was to estimate the success rate of office hysteroscopy for removal of intrauterine contraceptive device (IUCD) with missing threads. Methods: This prospective study included 11 women who underwent office hysteroscopy for IUCD removal. The procedure was performed using a hysteroscope 2.9 mm diameter and 4.3 mm inner operative sheath and 5 mm outer sheath was used without anesthesia. 5 fr flexible grasper used. Patient demographics, procedure time, success rate, and complications were recorded. Results: The mean procedure time was 2.9 min. The overall success rate was 90%. 63% reported mild pain during the procedure which did not require analgesic. No major complications were noted. 63% of patients who had a history of unsuccessful removal by a conventional method, they all reported less pain during office hysteroscopy. Conclusion: Office hysteroscopy is a safe, effective, and feasible method for IUCD removal. It offers several advantages over traditional blind removal methods, including reduced procedure time, improved success rate, and enhanced patient comfort.