Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy

Intrauterine contraceptive devices (IUCD) are widely used as a reversible method of contraception. Although uterine perforation caused by an IUCD is rare, in some cases, the device may migrate to the pelvic/abdominal cavity or nearby structures. When the IUCD migrate to the bladder, it can lead to v...

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Main Authors: Akbar Novan Dwi Saputra, Muhammad Nurhadi Rahman, Anis Widyasari
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2024/6934178
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author Akbar Novan Dwi Saputra
Muhammad Nurhadi Rahman
Anis Widyasari
author_facet Akbar Novan Dwi Saputra
Muhammad Nurhadi Rahman
Anis Widyasari
author_sort Akbar Novan Dwi Saputra
collection DOAJ
description Intrauterine contraceptive devices (IUCD) are widely used as a reversible method of contraception. Although uterine perforation caused by an IUCD is rare, in some cases, the device may migrate to the pelvic/abdominal cavity or nearby structures. When the IUCD migrate to the bladder, it can lead to various symptoms. These include pain or discomfort in the lower abdomen, difficulties or pain during urination, frequent urinary tract infections, and the development of bladder stones. This article presents a case report of a 24-year-old woman with an intrauterine contraceptive device (IUCD) that had migrated completely into the bladder. She had an IUCD inserted by a midwife four years earlier and became pregnant a year later, unaware of the IUCD’s presence. She later presented with lower abdominal pain, hematuria, and dysuria three months before being admitted to our hospital. Imaging confirmed the intravesical location of the IUCD. She underwent successful cystoscopy treatment to remove the migrated IUCD. Prompt diagnosis and appropriate management are crucial in preventing complications and improving patient outcomes. Clinicians should be aware of this potential complication and consider it when patients present with symptoms or complications after IUCD insertion. Regular monitoring and timely intervention can help detect and address IUCD migration effectively.
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spelling doaj-art-202cee1237c141c1aec57d4db2cfd76a2025-08-20T02:04:44ZengWileyCase Reports in Obstetrics and Gynecology2090-66922024-01-01202410.1155/2024/6934178Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by CystoscopyAkbar Novan Dwi Saputra0Muhammad Nurhadi Rahman1Anis Widyasari2Urogynecology and Reconstructive Surgery DivisionUrogynecology and Reconstructive Surgery DivisionUrogynecology and Reconstructive Surgery DivisionIntrauterine contraceptive devices (IUCD) are widely used as a reversible method of contraception. Although uterine perforation caused by an IUCD is rare, in some cases, the device may migrate to the pelvic/abdominal cavity or nearby structures. When the IUCD migrate to the bladder, it can lead to various symptoms. These include pain or discomfort in the lower abdomen, difficulties or pain during urination, frequent urinary tract infections, and the development of bladder stones. This article presents a case report of a 24-year-old woman with an intrauterine contraceptive device (IUCD) that had migrated completely into the bladder. She had an IUCD inserted by a midwife four years earlier and became pregnant a year later, unaware of the IUCD’s presence. She later presented with lower abdominal pain, hematuria, and dysuria three months before being admitted to our hospital. Imaging confirmed the intravesical location of the IUCD. She underwent successful cystoscopy treatment to remove the migrated IUCD. Prompt diagnosis and appropriate management are crucial in preventing complications and improving patient outcomes. Clinicians should be aware of this potential complication and consider it when patients present with symptoms or complications after IUCD insertion. Regular monitoring and timely intervention can help detect and address IUCD migration effectively.http://dx.doi.org/10.1155/2024/6934178
spellingShingle Akbar Novan Dwi Saputra
Muhammad Nurhadi Rahman
Anis Widyasari
Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy
Case Reports in Obstetrics and Gynecology
title Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy
title_full Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy
title_fullStr Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy
title_full_unstemmed Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy
title_short Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy
title_sort removal of complete spontaneous migration of an intrauterine contraceptive device to the bladder by cystoscopy
url http://dx.doi.org/10.1155/2024/6934178
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