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A Mislocated Intrauterine Device Migrating to the Urinary Bladder: An Uncommon Complication Leading to Stone
Mohamed Ali Nouioui1, Tarek Taktak1, Seif Mokadem1
1Department of Urology, Military Hospital of First Instruction of Tunis, University of Tunis El Manar, Tunisia.
Case Reports in Urology
|April 23, 2020
Summary
Intrauterine devices (IUDs) can migrate to the bladder, causing urinary symptoms. This case highlights the importance of considering displaced IUDs in women with chronic urinary issues.
Area of Science:
- Gynecology
- Urology
- Medical Case Reports
Background:
- Intrauterine devices (IUDs) are widely used reversible contraceptives.
- Complications, though rare, include uterine perforation and device migration to adjacent organs.
- Foreign bodies in the bladder carry a lithogenic risk, potentially causing stone formation.
Observation:
- A 43-year-old female presented with chronic lower urinary tract symptoms.
- Imaging revealed an intrauterine device had migrated into her urinary bladder.
- The patient had no history of trauma or prior bladder surgery.
Findings:
- The migrated intrauterine device in the bladder was successfully removed via cystoscopy using grasping forceps.
- No defects in the bladder wall were identified post-removal.
- The patient's urinary symptoms resolved after the IUD removal.
Implications:
- Misplaced intrauterine devices are a rare but significant cause of chronic urinary symptoms in women.
- Urologists and gynecologists should consider IUD migration in the differential diagnosis for such cases.
- Prompt diagnosis and removal can prevent further complications like bladder stones or infections.
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