Consequences of Global Radiofrequency Endometrial Ablation with an IUD in Situ

作者: Derek C. Yang , Katherine E. Dowd , Richard D. Wagner , Subhasis Misra , Robert P. Kauffman

DOI: 10.1089/GYN.2016.0039

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摘要: Abstract Background: Intrauterine devices (IUDs) should be removed prior to global endometrial ablation procedures although the consequences of not doing so are unknown. Case: Ten years presentation, radiofrequency was performed for abnormal uterine bleeding in a premenopausal female with levonorgestrel intrauterine device left place. Subsequently, patient developed chronic pelvic pain. Results: Hysteroscopy extensive myometrial dissection necessary remove embedded found below scarred surface. The IUD intact without evidence disintegration or melting. This patient's pain resolved. Conclusions: case demonstrates specific adverse outcome when plastic is ablation. Accordingly, adherence manufacturer's recommendations IUDs such prudent. (J GYNECOL SURG 32:348)

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