ENHANCING PRECISION: FLUOROSCOPY-GUIDED REMOVAL OF DEEP CONTRACEPTIVE IMPLANTS

Problem statement
Subcutaneous contraceptive implants have become a widely utilized method for long-term birth control, offering convenience and effectiveness to women. However, the need for removal due to completion of their effective lifespan, desired conception, or unforeseen complications might present a distinct challenge, particularly if they are non-palpable or deeply implanted.
Conventional extraction methods may encounter difficulties in accessing these deep implants, potentially leading to procedural complications, patient discomfort, or unsuccessful removal. As such, the demand for refined techniques that ensure safe, efficient, and comprehensive removal of deep contraceptive implants has become paramount. This study addresses this challenge by investigating the utility and outcomes of fluoroscopy-guided extraction techniques for deep contraceptive implants, aiming to contribute valuable insights that advance the precision and efficacy of implant removal procedures.

Methods
We collected and analyzed data on women presenting with a non-palpable or deep contraceptive implant referred to our institution for extraction over the course of 4 years.

Results
Our population sample consisted of 52 women with a median age of 31,8 years and BMI between 18,7-37,5kg/m2. The mean use time was 3,78 years. The main reasons identified for removal were end of validity (80%) and desire of pregnancy (12%). 38 devices were inserted in a Primary Care Facility and 14 in a Hospital. There were no complications associated with the removal procedures.

Conclusion
Fluoroscopy-Guided extraction of deep contraceptive implants facilitates the procedure and prevents complications associated with blind removal of these devices.