Intravesical migration of an intrauterine contraceptive device complicated by bladder stone: a report of six cases

Abstract

Intrauterine contraceptive device is the most popular method of reversible contraception in developing countries due to its efficiency and low cost. However, this device is often inserted by paramedics of variable skills, and follow-up evaluations are irregular or absent which can be the source of major complications. The authors report six cases of intravesical migration of intrauterine contraceptive devices complicated by bladder stones. All the six cases were managed endoscopically with excellent outcome. The authors demonstrate that this major complication can be managed endoscopically with decreased morbidity for the patient.

Bladder Stone and Lower Urinary Tract Symptoms due to Migrated Intrauterine Contraceptive Device: A Case Report and a Brief Review of the Literature

“…In our case, there were only lower urinary tact symptoms. Some cases are asymptomatic (22). At radiological imaging, calcified intrauterine or intravesical devices can be misdiagnosed as a bladder stones (5).…”

“…At radiological imaging, calcified intrauterine or intravesical devices can be misdiagnosed as a bladder stones (5). Migrated IUDs must be removed (22)(23) to avoid further complications.…”

An Iatrogenic Intravesical Foreign Body, a Piece of Foley Catheter: Case Report

“…Foreign bodies were reported to have been accidentally placed in female urethra during pro-cedures conducted to have a miscarriage or prevent pregnancy (5). Recently, it has been reported that various objects such as intrauterine devices, vaginal pessaries, artificial urinary sphincter, sling, non-absorbable materials used in Stamey procedures as well as surgical gauze entered into the bladder from adjacent organs (6,7). In rare cases, live objects such a leech can enter the bladder through the urethra (8).…”

Vesical calculus 10 years post missing intrauterine contraceptive device

“…The presence of foreign body in the bladder may present with a little or no symptoms in the initial period, but as a complication of its presence in the bladder develops, irrtative LUTS become apparent and progressively worsen. [910111213] With infection and encrustation around it subsequently there is stone formation. Soon there is the development of both irritative and obstructive LUTS and hematuria[101415] from recurrent urinary tract infection and calculus irritation of the bladder mucosa.…”