IUCD as bladder stone

Abstract

Intrauterine Contraceptive Devices (IUCDs) are commonly used in low to middle-income countries. IUCD migration into the adjacent organs, especially bladder, is exceptionally rare, though important to exclude. A 55-year-old para three post-menopausal female with history of recurrent urinary tract infections presented with lower urinary tract symptoms. Urine examination was indicative of Eschericia coli infection. Pelvic radiograph revealed an intravesical calculus having a T-shaped extension. Cystoscopy confirmed a bladder stone encasing an encrusted IUCD. Cystolithotripsy was performed, fragmenting the calculus which was then removed along with the IUCD in toto. IUCDs require regular evaluation to confirm their correct position. Gynecologists must properly counsel the patient so that the incidence of forgotten IUCDs can be minimized. Urologists need to be aware of these cases so that gynecological history is kept in mind while evaluating females with urinary symptoms. Serious complications such as intravesical migration are extremely rare but possible.

Intrauterine device (IUD) embedded in bladder wall with calculus formation treated with cystoscopy: a case report

“…If the IUD is located mostly within the wall or outside the bladder lumen, surgery is recommended [ 3 , 5 , 7 , 9 ]. Laparoscopy is preferred over open surgery, and spinal anesthesia is preferred over general anesthesia [ 2 , 11 , 12 ]. In cases of failed cystoscopy, surgery should be considered.…”

“…In cases of failed cystoscopy, surgery should be considered. In the literature, most of the reported cases were treated with laparoscopic and open surgical procedures [ 2–4 , 7 , 8 , 11 , 13 , 14 ]. Only a few rare cases reported in which cystoscopy was performed to remove the IUD [ 5 , 6 ].…”