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[Diagnosis and treatment of penetration of uterine wall by IUD (author's transl)].


 Penetration of the uterine wall by an IUD usually causes problems, and inadequate treatment causes pain to patients. It is important to know the patient's menstruation cycle because during the menstruation cycle and pregnancy the thickness of the uterine wall increases, causing difficulties in IUD removal. The position of the IUD in the uterine wall can be determined by probing with the aid of X-rays, by twisting it with an IUD removal hook, by visualization with radiopaque, iodine-containing oil, or by a metal position detector. When the IUD has not penetrated deeply into the uterine muscle and is not near the uterine artery, it can be removed with an IUD removal hook. When the IUD has penetrated deeply into the uterine wall or uterine horn or has reached the bladder, an abdominal operation is necessary. When the IUD is in the peritoneal cavity, it can be removed via a vaginal or abdominal operation.
