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Intrauterine device migration into the bladder with urolithiasis: A case report
Yassine Jaziri1, Bilel Saidani1, Ahmed Saadi1
1The Faculty of Medicine of Tunis, Tunis, Tunisia; The Department of Urology, Charles Nicole Hospital, Tunis, Tunisia.
International Journal of Surgery Case Reports
|May 11, 2025
Summary
Intrauterine devices (IUDs) can rarely migrate into the bladder, causing stone formation. Laser lithotripsy offers a minimally invasive treatment for this rare complication, resolving urinary symptoms.
Area of Science:
- Urology
- Gynecology
- Contraception
Background:
- Intrauterine devices (IUDs) are a widely used contraceptive method.
- Extrauterine migration is a rare complication of IUDs.
- Intravesical migration with stone formation is exceptional.
Observation:
- A 39-year-old woman presented with lower urinary tract symptoms (dysuria, pollakiuria).
- A bladder stone was found, associated with a migrated IUD inserted four years prior.
- Symptoms began four years after IUD insertion.
Findings:
- The migrated IUD led to significant bladder stone formation.
- Laser lithotripsy successfully treated the bladder stone and facilitated IUD removal.
- The patient experienced uncomplicated recovery and symptom resolution.
Implications:
- IUD intravesical migration with stone formation is a rare but significant complication.
- Diagnosis can be aided by ultrasonography and radiography.
- Laser lithotripsy is an effective, minimally invasive treatment option.
- Prompt treatment is crucial to prevent further complications.
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