Abstract
The purpose of this video is to highlight a former method of hysteroscopic contraception, via silicone tubal occlusion. This method, which rose to favor in the 1970's-1980's, has become less favored with advances in laparoscopic techniques and long acting reversible contraceptives. However, there is a paucity of video demonstrating how these plugs are inserted and removed. Additionally, this patient had a fragment of her IUD remaining inside the uterine cavity and attached to the silicone plug itself, which we removed. This case video demonstrates how the tubal occlusion material may appear on ultrasound and hysteroscopically, and the difficulty associated with removal of hysteroscopic plugs. In addition, we also demonstrate use of vaginoscopy technique in order to decrease OR time and length of the case, and lastly, we demonstrate removal of a polyp using simple hysteroscopic graspers.
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