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Intravesical Migration of an Intrauterine Device (IUD)-Case Report
Andreas P Christodoulides1, Theocharis Karaolides2
1Urology Resident, Nicosia General Hospital, Nicosia, Cyprus.
Objective:
The objective of this article is to report the first case of intravesical IUD migration at our clinic and raise awareness of forgotten contraceptive devices and their potential complications.
Methods:
We report a case of a 67 year old female who had neglected to remove her IUD for 20 years. She visited our clinic because of recurrent UTI's the previous year. After assessment and clinical investigation it was found that the coil had a late onset migration to the urinary bladder, with calculus formation, causing the patients' symptoms. The encrusted intrauterine device was removed endoscopically after cystolitholapaxy at the operation theatre under anesthesia.
Results:
The patient had an uneventful recovery and her UTI's subsided consequently.
Conclusion:
Recurrent urinary tract infections should trigger further investigation. Gynecological history should be included in this procedure. A history of an unretrieved IUD in a patient with recurrent infections or with chronic pelvic pain and irritative voiding symptoms should raise the suspicion of intravesical migration of the IUD. The management of a migrated IUD is controversial. However, if the IUD is found in the urinary bladder removal is mandatory.
