A Case of Migrating “Saf-T-Coil” Presenting With a Vesicovaginal Fistula and Vesicovaginal Calculus

Madden, A.P.; Aslam, Asadullah; Nusrat, Nadeem

doi:10.1016/j.eucr.2016.03.014

Cited by 10 publications

(5 citation statements)

References 3 publications

(4 reference statements)

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“…Diagnostic methods include urine examination, abdominal ultrasound, a transvaginal ultrasound, KUB x-ray, and pelvic CT or MRI (Chai et al, 2017). However, CT is most useful for identifying the exact location of the IUD and diagnosing whether it is penetrating surrounding organs (Madden et al, 2016). If the IUD migrates intraperitoneally, minimally invasive techniques or an open approach may be used to solve any associated complications as well as to remove the device, whereas, in incidents of intravesical translocation and stone formation, cystolitholopaxy of the bladder calculus should be employed along with the removal of the IUD (Madden et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula and Bladder Calculus caused by a Migrated Intrauterine Device: A Case Report

Wallace¹,

Wilson²

2021

FMCR

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Intrauterine devices (IUD) have proven to be one of the most reliable methods of contraception. However, as it is a foreign body, it can migrate from the intended position in the uterus, perforating surrounding structures and creating fistulas. We report a case of a 42-year-old woman who presented with abdominal pain, recurrent urinary tract infections, and chronic pelvic pain for eight years. Imaging revealed an intravesical IUD with attached bladder calculus, and a transurethral cystolitholapaxy subsequently uncovered an enterovesical fistula. Conservative urethral catheter management did not resolve the fistula, which was then repaired via robotic excision. The patient had an uncomplicated postoperative course, and voiding cystourethrogram confirmed water-tight repair of the fistula tract after two weeks.

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Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula and Bladder Calculus caused by a Migrated Intrauterine Device: A Case Report

Wallace¹,

Wilson²

2021

FMCR

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“…The possibility of spontaneous expulsion of the IUD should have been made only after thorough inspection of the abdomen and pelvis by different imaging methods. Intravesical migration of the IUD is not a new phenomenon and has been reported in many studies [4, 6–13].…”

Section: Discussionmentioning

confidence: 99%

“…IUD is still considered as a popular and cost-effective method of reversible contraception worldwide [1, 2]. A displaced or migrated IUD causes serious complications such as vesicouterine fistula, bowel perforation, hydronephrosis, and even renal failure [2–6]. Intravesical translocation of IUD is a rare phenomenon which could be associated with stone formation or bladder perforation [6–8].…”

Section: Introductionmentioning

confidence: 99%

“…A displaced or migrated IUD causes serious complications such as vesicouterine fistula, bowel perforation, hydronephrosis, and even renal failure [2–6]. Intravesical translocation of IUD is a rare phenomenon which could be associated with stone formation or bladder perforation [6–8]. Surgical removal either through endoscopy or open technique is the best recommended treatment [4–9].…”

Section: Introductionmentioning

confidence: 99%

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Cystoscopic removal of a migrated intrauterine device to the bladder; a case report

Vahdat

Gorginzadeh

Mousavi

et al. 2019

Contracept Reprod Med

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Background An intrauterine device (IUD) is a well-accepted means of reversible contraception. Migration of IUD to the bladder through partial or complete perforation has been rarely reported. This phenomenon could be strongly associated with history of prior cesarean sections (C-section) or early insertion of the device in the postpartum period. Case presentation In this study, a case of copper IUD migration through cesarean scar defect is presented, in such a way that was successfully managed by cystoscopic removal. A 31-year-old female with a history of lower urinary symptoms referred to the clinic for her secondary infertility work-up. A copper IUD outside the uterus in the bladder was found using hysterosalpingraphy. A plain abdominal radiography also confirmed the presence of a T-shaped IUD in the pelvis. According to ultrasound, the copper IUD was partly in the bladder lumen and within the bladder wall. The patient had a history of an intrauterine device insertion eight years ago followingher second cesarean delivery. Three years later, her IUD was expelled, and another copper IUD was inserted. Thesecond copper IUD was alsoremoved while she decided to be pregnant. The patient finally underwent a hysteroscopic cystoscopy. The intrauterine device with its short arms embedded in the bladder wall was successfully extracted through the urethra. Conclusions IUD insertion seems to be more challenging in women with prior uterine incisions and requires more attention. Cystoscopic removal should be considered as a safe and effective minimally invasive approach tomanage a migrated intrauterine device in the bladder.

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“…In other case of migrating SaF-T-Coil the patient underwent cystoscopy and cystolithotripsy of a large intravesical stone. The IUD was removed via vaginal route and vesicovaginal fistula was treated [7,8].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

Belci¹,

Mihovili²,

Zori³

et al. 2017

OGIJ

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Submit Manuscript | http://medcraveonline.com Spontaneous expulsions are rare, but can occur in the first months of usage, especially when the IUD is inserted shortly after childbirth. Uterine perforation is an extremely rare complication with a rate of 0.4/1000 insertions [1]. Perforation can occur during the insertion of IUD so it is recommended to be performed by an experienced gynaecologist [2]. Due to IUD migration, 30% of uterine perforations are asymptomatic. Case ReportA 68-year-old female, gravida 3(1 missed abortion), para 2, postmenopausal for 14 years, who came to the gynaecology outpatient department, presented with pain in suprapubic region for a year. Because of frequent urinary tract infections and mixed urinary incontinence, during the course of a year she took propiverine hydrochloride 30 mcg and nitrofurantoin 50 mcg prescribed by a general practitioner. Her last gynaecological examination was 20 year ago. After the second birth in 1970, sutures were put on her vagina and cervix and she received a blood transfusion. She cited that she was put an IUD 40 years ago. So far she suffered from arterial hypertension, glucose intolerance and GERD.At this point vaginal examination was done-vagina was closed 2 cm proximal to the vaginal introitus and no cervix was visualised. Vaginal smear was taken for cytological analysis which was negative for intraepithelial neoplasia. There was no clear outline of the uterus and ovaries visible on transrectal ultrasonography. IUD was not visualised and there was no fluid in the Pouch of Douglas. Transabdominal ultrasound showed intravesical hyperechoic reflection 3.4 cm in diameter which could represent stone. Further pelvic and abdominal CT scan revealed hyperdense linear formation with dimensions of 2.9x 5.0 cm placed in the uterine isthmus and vagina that descends to the introitus of the vagina. Furthermore, round calcified formation with dimensions of 3.0x2.4 cm was revealed in the posterior bladder wall ( Figure 1). These two formations were in close contact.Laboratory parameters were within normal values. Urine culture demonstrated Proteus mirabilis infection so the patient was given cefuroxime intravenously for 7 days at the Department of Infectious Diseases. When the urine culture came sterile, the patient was examined by aurologist for the first time and cystoscopy was performed. The urological operation was planned based on uroendoscopy and ultrasound findings where the stem (calculus) was verified. IUD was not verified because the stem was completely obliterated by the IUD. The operation was performed AbstractIntrauterine contraceptive device (IUCD) is one of the most frequently used contraceptive methods worldwide. Spontaneous perforation of the uterus or vagina and IUD migration to the bladder is very rare. We present a case of 68-yearold female with vaginal perforation of IUCD and migration into the bladder which resulted in formation of bladder calculus.

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A Case of Migrating “Saf-T-Coil” Presenting With a Vesicovaginal Fistula and Vesicovaginal Calculus

Cited by 10 publications

References 3 publications

Enterovesical Fistula and Bladder Calculus caused by a Migrated Intrauterine Device: A Case Report

Enterovesical Fistula and Bladder Calculus caused by a Migrated Intrauterine Device: A Case Report

Cystoscopic removal of a migrated intrauterine device to the bladder; a case report

Spontaneous Lippes Loop IUCD Intravesical Migration with Formation of Bladder Calculus and Vesicovaginal Fistula: A Case Report

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