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Migration of an intrauterine device into the bladder: a rare case

Archives of Gynecology and Obstetrics volume 279, pages 739–742 (2009)Cite this article

Abstract

Introduction

Intrauterine device (IUD) application has been used for over 30 years and is a widely accepted contraception method among women because of its low-complication rates. The use of intrauterine devices may cause complications but migration of the IUD into an adjacent organ is rarely encountered.

Case

In the present report, we present a 26-year-old patient to whom IUD had been applied 2 years ago and whose examination performed due to pain and urinary complaints revealed migration of the uterine device into the bladder.

Conclusion

Patients with pelvic pain and chronic irritative urinary symptoms whose vaginal examination and ultrasonography reveal a dislocated IUD should be carefully examined for the migration of the IUD into the bladder. In order to avoid this rare complication, patient should be evaluated physically and ultrasonographically for uterine position, thinness of the uterine wall and inflammatory disease before the insertion. The patient should be evaluated with sonography immediately after insertion and periodically.

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References

  1. Demirci D, Ekmekcioglu O, Demirtas A, Gulmez I (2003) Big bladder stones around an intravesical migrated intrauterine device. Int Urol Nephrol 35:495–496. doi:10.1023/B:UROL.0000025624.15799.8d

    PubMed  Article  Google Scholar 

  2. Zakin D, Stern WZ, Rosenblatt R (1981) Complete and partial uterine perforation and embedding following insertion of intrauterine devices. II. Diagnostic methods, prevention, and management. Obstet Gynecol Surv 36:401–417

    PubMed  CAS  Article  Google Scholar 

  3. Mahmutyazıcıoglu K, Ozdemir H, Ozkan P (2002) Migration of an ıntrauterine contraceptive device to the urinary bladder: sonographic findings. J Clin Ultrasound 30:496–498. doi:10.1002/jcu.10098

    PubMed  Article  Google Scholar 

  4. Eke N, Okpani AO (2003) Extrauterine translocated contraceptive device: a presentation of five cases and revisit of the enigmatic issues of iatrogenic perforation and migration. Afr J Reprod Health 7:117–123. doi:10.2307/3583296

    PubMed  Article  CAS  Google Scholar 

  5. Ozcelik B, Serin S, Basbug M, Aygen E, Ekmekcioglu O (2003) Differential diagnosis of intra-uterine device migrating to bladder using radiographic image of calculus formation and review of literature. Eur J Obstet Gynecol Reprod Biol 108:94–96. doi:10.1016/S0301-2115(02)00240-3

    PubMed  Article  Google Scholar 

  6. Singh I (2007) Intravesical Cu-T emigration: an atypical and infrequent cause of vesical calculus. Int Urol Nephrol 39:457–459. doi:10.1007/s11255-006-9021-9

    PubMed  Article  Google Scholar 

  7. Dietrick DD, Issa MM, Kabalin JN, Bassett JB (1992) Intravesical migration of intrauterine device. J Urol 147:132–134

    PubMed  CAS  Google Scholar 

  8. Soleymani Majd H, El Hamamy E, Chandrasekar R, Ismail L (2008) Migration of levonorgestrel IUS in a patient with complex medical problems: what should be done? Arch Gynecol Obstet, 21 June 2008 (Epub ahead of print)

  9. Atasoy C, Fitoz S, Akyar S (2001) Bladder stones caused by an ectopic intrauterine contraceptive device: case report. Can Assoc Radiol J 52:33–34

    PubMed  CAS  Google Scholar 

  10. Markovitch O, Klein Z, Gidoni Y, Holzinger M, Beyth Y (2002) Extrauterine mislocated IUD: is surgical removal mandatory? Contraception 66:105–108. doi:10.1016/S0010-7824(02)00327-X

    PubMed  Article  Google Scholar 

  11. El-Hefnawy AS, El-Nahas AR, Osman Y, Bazeed MA (2008) Urinary complications of migrated intrauterine contraceptive device. Int Urogynecol J Pelvic Floor Dysfunct 19:241–245. doi:10.1007/s00192-007-0413-x

    PubMed  Article  Google Scholar 

  12. Oliver R, Jagadeesan P, Coker A (2007) Laparoscopically assisted retrieval of lost IUCD/foreign bodies: a novel locating technique with fluoroscopic image intensifier. Surg Laparosc Endosc Percutan Tech 17:303–306. doi:10.1097/SLE.0b013e318059c29b

    PubMed  Article  Google Scholar 

  13. Benchekroun A, Lachkar A, Soumana A, Farih MH, Belahnech Z, Marzouk M et al (1999) Vesico-uterine fistulas. Report of 30 cases. Ann Urol (Paris) 33:75–79

    CAS  Google Scholar 

  14. Hoscan MB, Kosar A, Gumustas U, Guney M (2006) Intravesical migration of intrauterine device resulting in pregnancy. Int J Urol 13:301–302. doi:10.1111/j.1442-2042.2006.01291.x

    PubMed  Article  Google Scholar 

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Affiliations

  1. 1st Department of Obstetrics and Gynecology, Izmir Ataturk Training and Research Hospital, 35820, Izmir, Turkey

    Umur Yensel, Incim Bezircioglu, Ali Yavuzcan, Ali Baloglu & Burcu Cetinkaya

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  1. Umur Yensel
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  2. Incim Bezircioglu
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  3. Ali Yavuzcan
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  4. Ali Baloglu
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  5. Burcu Cetinkaya
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Correspondence to Ali Yavuzcan.

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Yensel, U., Bezircioglu, I., Yavuzcan, A. et al. Migration of an intrauterine device into the bladder: a rare case. Arch Gynecol Obstet 279, 739–742 (2009). https://doi.org/10.1007/s00404-008-0792-3

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  • DOI: https://doi.org/10.1007/s00404-008-0792-3

Keywords

  • Bladder
  • Intrauterine device
  • Migration