Endoscopic management of migrated intrauterine device to the bladder

OpenAlex İngilizce

Abstract Objective: Intrauterine device (IUD) is a widely used contraceptive method. Uterus perforation caused by an IUD is seen frequently, but intravesical migration with secondary stone formation is a rare complication. In this article, we report a case of an intravesical migrating IUD removed by laparoscopy. Result(s): A 48-year-old woman in whom the last IUD was inserted 15 years ago was presented with voiding symptoms including frequency, dysuria, and difficulty in urination. Plain X-ray and ultrasonography showed an IUD at the dome of the urinary bladder and a urinary stone at the bladder neck. The patient underwent cystoscopy and these imaging findings were evaluated at laparoscopy. The IUD which was seen on the right side of the bladder dome was covered by the peritoneum and omentum. After dissection of omentum and peritoneum, the IUD was seen at the wall of the bladder. Then, the IUD removed. Conclusion(s): Because of the irritative voiding symptoms, extraneous material in the urothelium leading to stone formation, and the possible occurrence of a squamous cell carcinoma, all IUDs that migrate to the bladder should be removed. Management of these cases can be performed successfully via the endoscopic approach.