Bladder Calculus Resulting from the Migration of an Intrauterine Contraceptive Device

A 25-year-old woman, married for 9 years was presented to Jankikund Chikitalaya with chief complaints of painful micturition, increasedurinary frequency and recurrent urinary tract infection for the 2 months.She had noticedpassage of thread per urethra 6 days back. Patient gave history of IUD insertion two years back with a poor gynaecological follow-up. One year following IUD insertion, she got pregnant, consulted her doctor who on pervaginal examination could not trace any IUD, thus thought it being expelled of itsown. The doctor advised her medicaltermination of pregnancy.

On Ultrasonographic examination and KUB x-ray revealed the presence of intravesical calculus (2 cm by 3 cm) with a Cu-T embedded in it. So, removal of a misplaced IUD via Suprapubic-cystolithotomywas planned. Intraoperatively, Cu-T with thread embedded in calculus was retrieved.Intraoperative intravesical Cu-T with calculus formation can be seen after cystotomyand after extraction of Cu-T and thread.

No injury or uterovesical fistula was observed in the bladder, and a Foley’s catheter was left for 7 days. The post-operative period was uneventful, and the patient was discharged from the hospital on the eighth postoperative day.

In conclusion, intravesical migration of an IUDshould be suspected in any woman with an unretrieveddevice and with recurrent urinary symptoms.