Migration of intrauterine copper 7 leading to vesical calculus

Sultan

et al. 2018

World J Nephrol Urol

We described one case of intravesical migration of a double copper-T intrauterine device (IUCD) associated with formation of stones. The diagnosis was made by ultrasound scan and KUB. In this case, we removed the double IUCDs with calculus endoscopically. Our case is the first report of intravesical migration of double IUCDs with stone formation. A description of the IUCD device history, diagnostic workup, treatment data, and the need for awareness of the importance of post-insertion follow-up and the possibility of intravesical migration are discussed.

Section: Case Reportmentioning

confidence: 70%

Double Intravesical Migration of Intrauterine Devices: Presented With Vesical Stone Formation

Sultan

et al. 2018

World J Nephrol Urol

“…The urinary frequency could be because of the bladder irritation by the TCu 380A IUD just embedded behind the bladder [Fig.2]. Lower urinary tract symptoms are common features of uterine perforation and bladder involvement [12,13] and patients who present with this should be investigated for possible migration or perforation [14,15]. History of "No Thread" in the vagina should not be assumed to be 'fallen' IUD but should be investigated for possible uterine perforation and/or migration.…”

Section: Discussionmentioning

confidence: 99%

Primary Uterine Perforation with Tcu 380a Intrauterine Device: A Case Report of 32 Years Old Lady in Gulu Hospital

Fp¹,

O²

2015

JCR

Introduction: Intrauterine device (IUD) is one of the most frequent methods of modern contraception due to its cost effectiveness and low complication rate. Uterine perforation is among the most serious complication associated with IUD insertion. The incidence of perforation is between 1.3 and 1.6 per 1000 insertion. Objective: To describe a case of primary uterine perforation by TCu 380A intra-uterine device. Method: We report a case of primary uterine perforation in a 32-year-old para 4 lady. She had TCu 380A intrauterine device inserted for contraception. She had sharp lower abdominal pain during the insertion and presented one month post-insertion with persistent lower abdominal pain and pain and increased frequency of passing urine. Result: Ultrasound scan showed an empty endometrial cavity but IUD was noted in right adnexal region. An elective exploratory laparatomy showed IUD embedded into the myometrium just visibly seen in the vesico-uterine peritoneal reflection. Conclusion: Uterine perforation by IUD is a rare but potentially dangerous complication of IUD insertion. Health workers should have high index of suspicion for possible uterine perforation and vesicle involvement if a patient presents with history of persistent lower abdominal pain and urinary symptoms.

Case Reports in Urology

“…However, a number of genitourinary tract diseases, including bladder tumor, stones, or congenital hydronephrosis, may also cause gross or microscopic hematuria in some physically active patients. Despite the apparent kindness, exercise-induced hematuria should be considered a diagnosis of exclusion and further evaluation is recommended, even in recurrent hematuria, when other bladder symptoms occur or in patients with increased risk for malignancies [5, 6]. Ultrasonography is a sensitive diagnostic tool of bladder diseases and in cases of loss of the IUD.…”

Section: Discussionmentioning

confidence: 99%

Exercise-Induced Hematuria as the Main Manifestation of Migration of Intrauterine Contraceptive Device into the Bladder

Rb²,

Vp³

et al. 2012

Intrauterine device (IUD) is a common contraceptive method, due to its cost-effectiveness and low complication rates. Uterine perforation is a possible complication and IUD migration to the bladder is a rare and morbid condition. The present report describes an interesting case in which the urinary manifestations started 13 years after insertion, and the main clinical finding was exercise-induced hematuria.