Presented by: JAN ERNEST GUY YADAO MD
VETERANS MEMORIAL MEDICAL CENTER

Introduction

Intrauterine devices ( IUD) are one of the most reliable and cheapest contraception methods. Although IUDs are effective,various complications,including bleeding,infection,ectopic pregnancy and uterine perforation,have been identified. Migration of IUD to the bladder through partial or complete perforation has been rarely reported. Herin,a case is presented where cystolithiasis was found 11 years after inserion of an IUD.

Materials

The case report describes the patients clinical presentation,laboratory and radiological findigns,as well as the management approach,which involved cystolithotripsy to remove the bladder stones and IUD

Results

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The radiographic imaging revealed a 5x5cm radiopaque calculus encrusting a T-shaped material identified as IUD. Cystoscopy confirmed the presence of bladder calcui and the copper IUD. The patient underwent successful cystolithotripsy and the postoperative period was uneventful.

Conclusion

Bladder stones are the most common manifestation of lower urinary tract lithiasis,accounting for 5% of all the urinary stone diseases, and approximately 1.5% of urologic hospital admissions. Traditionally, the bladder stones are classified as migrant,primary idiopathic, or secondary. Secondary bladder stones are always associated with underlying bladder pathology,such as a migrated intrauterine contraceptive device, which can act as the nidus for the formation of a secondary bladder stone. Radiography and ultrasonography provide adequate imaging for the diagnosis of intravesical migration of intrauterine devices. Prompt removal of the stone must be done to prevent recurrent urinary tract infection.

Funding

none

Lead Authors

ELI PAULINO MADRONA, MD
veterans memorial medical center

Co-Authors

brian severo blas, MD
Eastern Visayas Medical Center

Meliton Alpas, MD
Veterans Memorial Medical Center

Karl Marvin Tan, MD
veterans memorial medical center