A Mislocated Intrauterine Device Migrating to the Urinary Bladder: An Uncommon Complication Leading to Stone Formation

Abstract

Intrauterine devices are a popular form of reversible contraception among women. Its administration can lead to some uncommon but serious complications such as perforation leading to its migration into adjacent organs. Like any foreign body, the presence of an IUD in the bladder can result in stone formation due to its lithogenic potential. We report a case of an IUD migrating from its normal position in the uterine cavity into the urinary bladder causing chronic low urinary tract symptoms in a 43-year-old female patient. The device was securely removed without complications using grasping forceps under cystoscopy, and no parietal defect was detected. A mislocated IUD is a rare complication that should be considered in female patients presenting with chronic urinary symptoms.

Silent perforation and migration of IUCD: A diagnostic challenge in patients with pain abdomen: A case report

“…There are controversies regarding the treatment of asymptomatic noncomplicated migrated IUCD. The World Health Organization (WHO) recommends the removal of the migrated IUCD irrespective of complications or symptoms [9] while some studies advocate conservative management [10].…”

Intraperitoneal migration of an intrauterine device (IUD): A case report

“…Indeed, after a perforation, the IUD can be localized in various neighboring organs. Ectopic localization in the pouch of Douglas, omentum, mesentery, colon and bladder have been described [ 4 , 5 ].…”

Early-onset complete spontaneous migration of contraceptive intrauterine device to the bladder in a post C-section patient: A case report

“…Migration of a contraceptive intrauterine device (IUD) where the IUD spontaneously migrates from the uterine to other periuterine areas, such as the bladder, is rare and with unknown etiology. Approximately 1–3 of 1000 IUD insertions result in migration [ 1 ]. Migration to the bladder may cause symptoms, such as suprapubic pain or discomfort, dysuria, recurrent urinary tract infections, and stone formation.…”

“…Migration may also be incomplete, i.e., the IUD has not fully migrated to the bladder. Removal of an IUD that has not completely migrated requires a more complicated surgery [ 1 ]. We report a case of a complete spontaneous migration of an IUD to the bladder in a patient one month after IUD insertion.…”