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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Intrauterine device migration to the urinary bladder causing sexual dysfunction: a case report.

K Dimitropoulos1, K Skriapas2, G Karvounis2

  • 1Department of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

Hippokratia
|November 30, 2016
PubMed
Summary

Intrauterine device (IUD) migration to the bladder is rare but can cause sexual dysfunction. Surgical removal of the IUD resolved the patient's symptoms, highlighting the importance of considering IUD dislocation in patients with unexplained sexual complaints.

Keywords:
IUDIntrauterine devicedislocationdislodgementdyspareuniafemalemigrationsexual dysfunction

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Area of Science:

  • Gynecology
  • Urology
  • Reproductive Health

Background:

  • Intravesical migration of an intrauterine device (IUD) is an infrequent complication following insertion.
  • This case highlights a rare instance where an IUD migrated into the urinary bladder, leading to significant sexual dysfunction.

Observation:

  • A 38-year-old woman experienced progressive dyspareunia and recurrent urinary tract infections over 12 months post-IUD insertion.
  • Comprehensive evaluation revealed sexual domain disorders, with imaging and cystoscopy confirming bladder-located IUD.

Findings:

  • Surgical removal of the intravesical IUD was successfully performed under anesthesia without complications.
  • Six months post-removal, the patient reported significant improvement in sexual function and resolution of urinary symptoms.

Implications:

  • Sexual difficulties in women with an IUD warrant investigation for potential device dislodgement or dislocation.
  • Prompt diagnosis and management of intravesical IUD migration can restore sexual function and alleviate urological symptoms.