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

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 i...

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Autores principales: Vahdat, Masnoureh, Gorginzadeh, Mansoureh, Mousavi, Ashraf Sadat, Afshari, Elaheh, Ghaed, Mohammad Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600896/
https://www.ncbi.nlm.nih.gov/pubmed/31304041
http://dx.doi.org/10.1186/s40834-019-0089-x
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author Vahdat, Masnoureh
Gorginzadeh, Mansoureh
Mousavi, Ashraf Sadat
Afshari, Elaheh
Ghaed, Mohammad Ali
author_facet Vahdat, Masnoureh
Gorginzadeh, Mansoureh
Mousavi, Ashraf Sadat
Afshari, Elaheh
Ghaed, Mohammad Ali
author_sort Vahdat, Masnoureh
collection PubMed
description 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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spelling pubmed-66008962019-07-12 Cystoscopic removal of a migrated intrauterine device to the bladder; a case report Vahdat, Masnoureh Gorginzadeh, Mansoureh Mousavi, Ashraf Sadat Afshari, Elaheh Ghaed, Mohammad Ali Contracept Reprod Med Case Report 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. BioMed Central 2019-07-01 /pmc/articles/PMC6600896/ /pubmed/31304041 http://dx.doi.org/10.1186/s40834-019-0089-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Vahdat, Masnoureh
Gorginzadeh, Mansoureh
Mousavi, Ashraf Sadat
Afshari, Elaheh
Ghaed, Mohammad Ali
Cystoscopic removal of a migrated intrauterine device to the bladder; a case report
title Cystoscopic removal of a migrated intrauterine device to the bladder; a case report
title_full Cystoscopic removal of a migrated intrauterine device to the bladder; a case report
title_fullStr Cystoscopic removal of a migrated intrauterine device to the bladder; a case report
title_full_unstemmed Cystoscopic removal of a migrated intrauterine device to the bladder; a case report
title_short Cystoscopic removal of a migrated intrauterine device to the bladder; a case report
title_sort cystoscopic removal of a migrated intrauterine device to the bladder; a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600896/
https://www.ncbi.nlm.nih.gov/pubmed/31304041
http://dx.doi.org/10.1186/s40834-019-0089-x
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