Da Vinci–assisted laparoscopic removal of an intrauterine device in the bladder

Moy, Benjamin M.; Andino, Juan J.; Sadeghi, Zhina; Gupta, Priyanka

doi:10.1002/ijgo.14343

Intl J Gynecology & Obste

2022

DOI: 10.1002/ijgo.14343

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Da Vinci–assisted laparoscopic removal of an intrauterine device in the bladder

Benjamin M. Moy

Juan J. Andino

Zhina Sadeghi

et al.

Abstract: Women with concerns for migratory intrauterine devices based on examination or imaging and who present with genitourinary symptoms should be evaluated for device transmigration.

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2024

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Two management cases of intrauterine device translocation to the bladder

Nechiporenko

2024

Vestn. Urol.

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Introduction Intrauterine devices (IUDs) are widely used worldwide. One of the rare but serious complications is uterine perforation and the penetration of an IUD through the uterine wall into the bladder. In this report, we present two cases of IUD removal from the bladder wall.Clinical case. Two patients were referred for recurrent episodes of dysuria. Medical imaging and cystoscopy revealed a foreign body in the bladder wall, which was confirmed to be an IUD that had been inserted into the uterine cavity several years prior and partially migrated into the bladder lumen. Both patients underwent successful transurethral surgery, with complete removal of the IUD without fragmentation.Discussion. The removal of the IUD through the bladder did not cause any complications, and the patients were discharged from the hospital after five days. The translation of the IUD is possible if there is partial or complete damage to the wall of the cervix, isthmus or uteral body during the installation of the device.Conclusion. Patients with an IUD in place and frequent episodes of acute cystitis should have a cystoscopy to rule out bladder perforation caused by the IUD. The removal of the IUD through the urethra using an cystoscope and forceps is a relatively simple procedure that does not usually cause any intraoperative, immediate or delayed postoperative complications.

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Two management cases of intrauterine device translocation to the bladder

Nechiporenko

2024

Vestn. Urol.

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Intrauterine Contraceptive Device Migrated in the Urinary Tract: Case Report and Extensive Literature Review

Varlas,

Meianu,

Rădoi

et al. 2024

JCM

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The migration or translocation of an intrauterine device (IUD) in the urinary tract is a rare event. Here, we present the case of a 55-year-old woman who accidentally discovered the ectopic presence of an IUD following a radiological examination for pelvic pain caused by a lumbar discopathy. Over the years, the patient had several IUDs inserted without being able to specify which one had migrated. The removal of the IUD was performed laparoscopically with the minimum resection of the bladder wall and the subsequent cystorrhaphy. The evolution of the patient was favorable. To better analyze these events, we conducted an all-time extensive electronic search of the PubMed database and identified 94 eligible articles, with a total of 115 cases. The literature analysis on the IUD migrations shows either the simultaneous existence of the second IUD or of a maximum number of up to two IUD insertions during the life of patients. Thus, in the presented case, we identified five IUD insertions over time, which explained the chronic inflammatory process by forming an important mass of adherents that included the urinary bladder, uterus, omentum, sigmoid colon, and abdominal wall. Therapeutic management must be adapted to each case depending on the intra/extravesical location of the migrated IUD evaluated by imaging.

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Da Vinci–assisted laparoscopic removal of an intrauterine device in the bladder

Abstract: Women with concerns for migratory intrauterine devices based on examination or imaging and who present with genitourinary symptoms should be evaluated for device transmigration.

Cited by 2 publications

References 4 publications

Two management cases of intrauterine device translocation to the bladder

Two management cases of intrauterine device translocation to the bladder

Intrauterine Contraceptive Device Migrated in the Urinary Tract: Case Report and Extensive Literature Review

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