Ultrasound guided implanon removal (Deep Implant Removal)

The Implanon contraceptive implant is a 4 cm x 2 mm progestogen hormone device ("rod") placed under the skin, typically in the upper arm. The device is typically inserted and removed by general practitioners under local anaesthetic. However, when the device can no longer be felt or palpated under the skin, it may not be possible to remove it safely without imaging guidance (deep implant removal). Where possible, ultrasound guided removal by an Interventional Radiologist (IR) is preferred, as it requires a much smaller incision than open surgery.

The Implanon device is located using ultrasound scanning, and occasionally x-ray if required. After administering local anaesthetic, the Interventional Radiologist (IR) will then make a small incision in the skin and remove the device under ultrasound guidance. The use of ultrasound allows the Implanon device to be accurately located and removed with minimal injury to surrounding tissues and vessels.

If you would like to consult with an Interventional Radiologist about ultrasound guided Implanon removal, please send a referral for consultation, including the following

• Ultrasound and/or x-ray imaging results
• Medical history including contraception plan
• Records of consultations with other doctors and specialists

Public eligible patients can undergo the treatment with no out-of-pocket expense in the public system.