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Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation

Background: An intrauterine device is commonly used for contraception globally. Although intrauterine device placement is an effective and safe method of contraception, migration into the bladder with stone formation is a rare and serious complication. The management approaches for an intrauterine d...

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Autores principales: Sano, Masayuki, Nemoto, Kaoru, Miura, Takafumi, Suzuki, Yasutomo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628558/
https://www.ncbi.nlm.nih.gov/pubmed/29082325
http://dx.doi.org/10.1089/cren.2017.0038
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author Sano, Masayuki
Nemoto, Kaoru
Miura, Takafumi
Suzuki, Yasutomo
author_facet Sano, Masayuki
Nemoto, Kaoru
Miura, Takafumi
Suzuki, Yasutomo
author_sort Sano, Masayuki
collection PubMed
description Background: An intrauterine device is commonly used for contraception globally. Although intrauterine device placement is an effective and safe method of contraception, migration into the bladder with stone formation is a rare and serious complication. The management approaches for an intrauterine device embedded in the bladder include endoscopic procedures and open surgical removal. In this study, we report the case of a patient with recurrent urinary tract infection associated with intrauterine device migration and urolithiasis, who successfully underwent endoscopic treatment combined with laser fragmentation. Case Presentation: A 22-year-old woman presented to our hospital with a 1-month history of lower abdominal pain, hematuria, and pain on urination. Transvaginal ultrasound showed a hyperechoic lesion in the bladder. A plain abdominal radiograph showed the presence of a T-shaped intrauterine device with calculus formation in the pelvis. CT revealed a vesical stone fixed to the top of the bladder wall, and there was no vesicovaginal fistula formation. She had undergone intrauterine device insertion several years previously. Cystoscopy confirmed the diagnosis. She underwent endoscopic lithotripsy, and the intrauterine device was extracted from the bladder wall. Repair of the bladder wall and disappearance of symptoms were confirmed. Conclusion: Endoscopic treatment combined with laser fragmentation of stones surrounding a migrated intrauterine device should be considered as a minimally invasive approach, which can be performed safely.
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spelling pubmed-56285582017-10-27 Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation Sano, Masayuki Nemoto, Kaoru Miura, Takafumi Suzuki, Yasutomo J Endourol Case Rep Case Report Background: An intrauterine device is commonly used for contraception globally. Although intrauterine device placement is an effective and safe method of contraception, migration into the bladder with stone formation is a rare and serious complication. The management approaches for an intrauterine device embedded in the bladder include endoscopic procedures and open surgical removal. In this study, we report the case of a patient with recurrent urinary tract infection associated with intrauterine device migration and urolithiasis, who successfully underwent endoscopic treatment combined with laser fragmentation. Case Presentation: A 22-year-old woman presented to our hospital with a 1-month history of lower abdominal pain, hematuria, and pain on urination. Transvaginal ultrasound showed a hyperechoic lesion in the bladder. A plain abdominal radiograph showed the presence of a T-shaped intrauterine device with calculus formation in the pelvis. CT revealed a vesical stone fixed to the top of the bladder wall, and there was no vesicovaginal fistula formation. She had undergone intrauterine device insertion several years previously. Cystoscopy confirmed the diagnosis. She underwent endoscopic lithotripsy, and the intrauterine device was extracted from the bladder wall. Repair of the bladder wall and disappearance of symptoms were confirmed. Conclusion: Endoscopic treatment combined with laser fragmentation of stones surrounding a migrated intrauterine device should be considered as a minimally invasive approach, which can be performed safely. Mary Ann Liebert, Inc. 2017-08-01 /pmc/articles/PMC5628558/ /pubmed/29082325 http://dx.doi.org/10.1089/cren.2017.0038 Text en © Masayuki Sano et al. 2017; Published by Mary Ann Liebert, Inc. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sano, Masayuki
Nemoto, Kaoru
Miura, Takafumi
Suzuki, Yasutomo
Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation
title Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation
title_full Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation
title_fullStr Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation
title_full_unstemmed Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation
title_short Endoscopic Treatment of Intrauterine Device Migration into the Bladder with Stone Formation
title_sort endoscopic treatment of intrauterine device migration into the bladder with stone formation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628558/
https://www.ncbi.nlm.nih.gov/pubmed/29082325
http://dx.doi.org/10.1089/cren.2017.0038
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