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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Urinary Tract Calculi III: Medical Management01:30

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Urinary Tract Calculi V: Nursing Management01:28

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

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Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
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Urinary Tract Calculi I: Introduction01:28

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Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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IUCD as bladder stone.

Ishita Agarwal1, Himanshu Agarwal2

  • 1Senior Resident, Department of Obstetrics and Gynaecology, 410775All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Tropical Doctor
|June 30, 2022
PubMed
Summary
This summary is machine-generated.

Intrauterine Contraceptive Devices (IUCDs) rarely migrate to the bladder, forming stones. This case highlights the importance of evaluating bladder stones in women with urinary symptoms and a history of IUCD use.

Keywords:
community healthgenital (female) < physiologypublic healthurologic < physiology

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Area of Science:

  • Urology
  • Gynecology
  • Medical Imaging

Background:

  • Intrauterine Contraceptive Devices (IUCDs) are widely used globally, particularly in low to middle-income countries.
  • Migration of IUCDs to adjacent organs, such as the bladder, is an exceptionally rare complication.
  • Recurrent urinary tract infections and lower urinary tract symptoms can be indicative of underlying complications.

Purpose of the Study:

  • To report a rare case of an Intrauterine Contraceptive Device (IUCD) migrating into the bladder and forming a large calculus.
  • To emphasize the importance of considering IUCD migration in the differential diagnosis of urinary symptoms in women.
  • To highlight the need for proper patient counseling and follow-up regarding IUCD placement and retention.

Main Methods:

  • A case report of a 55-year-old female presenting with lower urinary tract symptoms and a history of recurrent urinary tract infections.
  • Diagnostic workup included urine examination and pelvic radiography.
  • Confirmation and management involved cystoscopy and cystolithotripsy for calculus removal with the embedded IUCD.

Main Results:

  • Pelvic radiograph revealed an intravesical calculus with a T-shaped extension.
  • Cystoscopy confirmed a bladder stone encasing an encrusted IUCD.
  • Successful removal of the calculus and IUCD was achieved via cystolithotripsy.

Conclusions:

  • Intrauterine Contraceptive Device (IUCD) migration to the bladder, while rare, can lead to significant complications like calculus formation.
  • Gynecologists should ensure proper patient counseling to minimize forgotten IUCDs.
  • Urologists must consider gynecological history in evaluating female patients with urinary symptoms to diagnose and manage such rare occurrences effectively.