#367 : The Use of Intrauterien Balloon Therapy in Reproductive Medicine and Surgery

Abstract

Background and Aims: The use of balloon therapy in obstetric practice, especially in postpartum haemorrhage is well established and has recently been reviewed. However, little attention has been drawn regarding the use of intrauterine balloon (IUB) in gynaecological practice. This study focuses on the various usage of IUB in gynaecological practice. Methods: An electronic literature search through Medline, EMBASE and Clinicaltrial.gov from inception to August 2022 was conducted with mesh combinations of the following keywords: balloon, uterus, gynaecology, Foley catheter, complication, tamponade, hysteroscopy and laparoscopy. Results: The study focuses on the 3 following areas: (1) Indications: prevention & removal of intrauterine adhesions, management of ectopic pregnancy, facilitation of endoscopic surgery and other clinical usages; (2) Practical aspects of balloon therapy including ultrasound guidance, choice of balloon, inflation volume, duration of balloon therapy; and (3) Potential complications including pain, infection, uterine rupture and how they can be avoided. Conclusions: IUB therapy is a simple, inexpensive and effective method that can be applied in various gynaecological conditions ranging from IUA to intrauterine haemorrhage. Complications are rare, but in most cases can be avoided with correct use.