Name of the Procedure:

• Common Name(s): Insertion of Subdermal Rod Implants, Birth Control Implants
• Technical/Medical Term: Insertion of Non-Biodegradable Drug Delivery Implants, 4 or More (HCPCS Code G0516)

Summary

Insertion of subdermal rod implants involves placing small, non-biodegradable rods under the skin to release medication over an extended period. This is commonly used for long-term birth control.

Purpose

Medical Conditions or Problems Addressed:

• Birth control
• Long-term contraception needs

Goals or Expected Outcomes:

• Continuous release of contraceptive hormones to prevent pregnancy
• Effective contraception for up to several years

Indications

Symptoms or Conditions:

• Desire for long-term contraception
• Inability or unwillingness to use daily or monthly contraceptive methods

Patient Criteria:

• Females of reproductive age seeking effective birth control
• No contraindications to hormonal contraception

Preparation

Pre-Procedure Instructions:

• No specific fasting required
• Review current medications with your healthcare provider
• Complete medical history and physical examination

Diagnostic Tests:

• Pregnancy test to ensure the patient is not pregnant before the procedure
• Possibly blood tests to evaluate general health

Procedure Description

Step-by-Step Explanation:

1. Preparation: The healthcare provider will clean the insertion site (usually the inner side of the upper arm) and apply a local anesthetic to numb the area.
2. Insertion: A small incision is made, and a specially designed applicator is used to place the rods subdermally.
3. Verification: The position of the rods is confirmed through palpation or ultrasound.

Tools and Technology Used:

• Subdermal implant applicator
• Local anesthetic
• Sterile implantation kit

Anesthesia or Sedation:

• Local anesthesia to numb the area

Duration

• The procedure typically takes about 15 to 30 minutes.

Setting

• Outpatient clinic or medical office

Personnel

• Healthcare professional, typically a physician or a trained nurse practitioner

Risks and Complications

Common Risks:

• Pain or tenderness at the insertion site
• Bruising or swelling

Rare Risks:

• Infection at the insertion site
• Migration of the implants
• Allergic reaction to the anesthetic

Possible Complications and Management:

• Removal of rods if migration occurs
• Antibiotics for infection

Benefits

• Long-term, effective contraception
• Reduced need for daily or monthly contraceptive methods
• Immediate return to fertility upon removal

Recovery

Post-Procedure Care:

• Keep the insertion site clean and dry for a few days
• Wear a bandage as instructed
• Pain management with over-the-counter pain relievers if needed

Expected Recovery Time:

• Most patients can resume normal activities immediately
• Minor soreness or bruising may persist for a few days

Follow-Up:

• Follow-up visit to check the insertion site and ensure proper placement

Alternatives

Other Treatment Options:

• Oral contraceptive pills
• Intrauterine devices (IUDs)
• Injectable contraceptives
• Barrier methods

Pros and Cons of Alternatives:

• Pills and injections require regular dosing
• IUDs also provide long-term contraception but involve uterine placement
• Barrier methods are less effective and require consistent use

Patient Experience

During the Procedure:

• Typical sensation of pressure or minor discomfort due to the local anesthetic and the insertion process

After the Procedure:

• Minor pain or tenderness at the insertion site
• Bruising and mild swelling may occur

Pain Management and Comfort Measures:

• Over-the-counter pain relievers (e.g., acetaminophen or ibuprofen)
• Cold packs applied to the area to reduce swelling and discomfort

By following these guidelines and understanding the detailed steps involved, patients can prepare themselves for a smooth procedure and effective results.