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Transvaginal contraception--avoid the bladder.

D Allen1, J Glass

  • 1Department of Urology, Guy's' Hospital, London, England, UK. darrell34a@hotmail.com

International Journal of Clinical Practice. Supplement
|May 7, 2005
PubMed
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Two cases highlight unusual bladder foreign bodies: a lost thermometer and an intrauterine contraceptive device (IUCD). Management varied from cystoscopic removal to open surgery, emphasizing diverse urological presentations.

Area of Science:

  • Urology
  • Gynecology
  • Medical Devices

Background:

  • Female contraceptive methods can rarely lead to urological complications.
  • Foreign bodies in the bladder present unique diagnostic and management challenges.

Observation:

  • Two distinct cases involving bladder foreign bodies are presented.
  • Case 1: A thermometer lost intravesically during temperature measurement.
  • Case 2: An intrauterine contraceptive device (IUCD) migrated into the bladder.

Findings:

  • The thermometer was diagnosed via X-ray and removed cystoscopically.
  • The IUCD required open surgery for removal after failed endoscopic attempts.
  • Management strategies depend on the foreign body type and its location.

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Implications:

  • This highlights the importance of considering iatrogenic causes for bladder foreign bodies.
  • Diverse urological presentations necessitate tailored diagnostic and surgical approaches.
  • Proper patient counseling regarding contraceptive device placement and potential complications is crucial.