Complex coil removal - best practice

[Anonymouse27]

Does anyone know of official NHS/NICE guidelines or standards please? The strings to my coil are lost. I had an ultrasound about a year ago that said it was in position.

I feel quite brutalised by my recent experience in my GP surgery to remove the coil with lost strings. (Unsuccessfully). The nurse said it would be exactly the same at the hospital. I’m feeling hopeless. I looked up private and it’s ’guided Ultrasound removal’ for £350. Surely it’s not true that poor people just get a nurse blindly poking around with pointy implement?

Please help!

when this happened to me I had a dr poke around to remove it. It wasn’t the most pleasant thing but once an ultrasound had confirmed it was on position it seemed easy enough for an experienced dr to remove

This happened to me many years ago.
I had a GA & coil removal plus D&C.
It’s awful that you will be poked around so painfully.
I hope it is resolved soon for you.

Thank you. I’m sorry thus happened to you too. I had the ultrasound a year ago and at the time GP said I would need to go to hospital for removal but not urgent.

Coil now expired and needs to be changed. Different GP said Practice Nurse will do it. I asked Nurse if she could tell where it was from (12 month old) ultrasound picture. She said no, she will catch if with her coil catcher. Extremely painful. Lots of bleeding after. I have had vaginal birth. She said I could go to the hospital but it would be just the same.

I cannot find any NHS guidance online but lots of private providers.

I had a coil that was missing the strings.

Jan 24 the Doctor at the GP surgery tried to replace it but couldnt so referred me to the hospital - said waiting list was about 5 weeks!

Nov 24!!! I finally got an appt with a gynae specialist who tried to get it out but couldn't so explained that I would need to have a hysteroscopy which involves a camera and being inserted and a claw device used to remove the coil.

I had this done a couple of weeks ago following an internal ultrasound to check the current positioning. I had local anaesthetic but some people opt for general.
It was uncomfortable and took me a few days to recover.

This was all on the NHS (wales).

I would get referred to the hospital as they then have the power to put you in for a procedure under general especially as it sounds like you dont cope well with the pain.

I had to get mine taken out at the hospital. The doctor unfortunately had to rip it out of my uterus where it was embedded in the uterine wall...not fun. I suppose they're limited in how they can actually deal with it in some settings. I hope you manage to get to a reasonable solution within a reasonable time frame.💐

I was referred to specialist clinic at the hospital for mine. There was no anaesthetic local or otherwise offered and it was extremely painful! They replaced with a new one at the same time.

I had lost strings. No messing about, was referred to the hospital for a hysteroscopy & removal under GA. Didn't wait too long (4 weeks ish I think)

Mine got stuck and two attempts to remove it were so painful I had a GA for the third.

I am waiting for a hospital appointment to remove mine. My GP tried to remove it but the strings were lost. I have had an ultrasound and it is in place but still waiting on removal since Nov '24.

I had multiple hospital appointments with people prodding about. Then eventually it was removed under GA. About ten years later I was told I have a bicornuate uterus. So it would never have sat where it was meant to.