Ultrasound Combined With Single-Use Cervical Dilation Sticks And Lidocaine Achieved Good Clinical Outcomes In Hysteroscopic Removal Of The Intrauterine Device: A Pilot Study.

OBJECTIVE

Our purpose of this study was to investigate the value of ultrasound combined with disposable cervical dilating stick and lidocaine in hysteroscopic intrauterine device (IUD) removal in postmenopausal women.

METHODS

Ninety-six postmenopausal women who requested IUD removal in our hospital from March 2020 to March 2022 were selected and randomly divided into a control group (48 cases) and a study group (48 cases) according to random number table method, with the control group undergoing conventional hysteroscopic IUD removal and the study group undergoing hysteroscopic IUD removal with ultrasound combined with a single-use cervical dilator rod and lidocaine. The time of IUD removal, subjective comfort evaluation scale (SECS) scores, treatment compliance, quality of life scale (SF-36) scores, IUD removal results, hospital anxiety and depression scale (HAD) scores and complications were compared between the two groups.

RESULTS

The ring removal time of the study group was shorter than that of the control group, the postoperative SECS and SF-36 scores were higher than those of the control group, the compliance rate and the excellent and good rate of ring removal efficacy were higher than those of the control group, the postoperative HAD score was lower than that of the control group, and the incidence rate of complications was lower than that of the control group (P < .05).

CONCLUSIONS

In hysteroscopic IUD removal, ultrasound combined with single-use cervical dilation sticks and lidocaine can gently soften and dilate the cervix in a short time, shortening the procedure time and reducing pain. The procedure is simplified, rapid, safe and has a high success rate.