Uterine perforation is a potential complication of any intrauterine procedure. It may be associated with injury to surrounding blood vessels or viscera such as the bladder or intestine. If not diagnosed at the time of the procedure it can occasionally result in massive hemorrhage or sepsis; however, the majority of uterine perforations are sub-clinical and safely resolve by themselves without treatment and do not cause any significant long-term damage."Uterine perforations ... are rarely noticed and almost never dangerous.... Since none of these resulted in complications, ... the authors recommended no treatment for the majority of known or suspected uterine perforations.""When this happens, as long as no internal organs (intestines, bladder, or rectum) or large blood vessels are damaged, the hole will almost always heal itself without further surgery.""In most cases of perforation there are no long term consequences." Risk factors include cervical stenosis during trans-cervical procedures or decreased strength of the myometrial wall as in pregnancy or menopause. Author: Barbara S Levy, MD, PS. Retrieved on Feb 14, 2010
See also Uterine rupture
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