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Case report: Bladder stone caused by dislocated Cu-IUD
Elvin Piriyev1, Ahdab Ali Azim2, Gamzat Jigarov2
1University Witten-Herdecke, Germany; Department of Obstetrics and Gynecology, Academic Hospital Cologne Weyertal, Germany.
International Journal of Surgery Case Reports
|November 10, 2024
Summary
Intrauterine devices (IUDs) can migrate to the bladder, causing stones and urinary symptoms. Surgical removal is effective for bladder stones and migrated IUDs, improving patient outcomes.
Area of Science:
- Urology
- Gynecology
- Radiology
Background:
- Intrauterine devices (IUDs) are common contraceptives, with a low risk of uterine perforation.
- Bladder migration of IUDs, though rare, can lead to complications like stone formation.
Observation:
- A 32-year-old woman presented with dysuria due to an IUD migrated into her bladder with associated stone formation.
- Imaging confirmed the migrated IUD and vesicolithiasis.
Findings:
- Transvesical IUD migration can cause lower urinary tract symptoms and vesicolithiasis.
- Treatment options range from cystoscopic removal to open surgery, depending on stone size and IUD location.
Implications:
- Prompt diagnosis using imaging (ultrasound, CT) is crucial for dislocated IUDs.
- Dysuria following IUD insertion warrants consideration of bladder migration.
