Cystoscopic Management of the Intravesical Migration of an Intrauterine Device Complicated by Bladder Stone Formation: A Video Case Report

TL;DR

A 32-year-old woman had a migrated IUD in her bladder, which formed a stone and was successfully removed using cystoscopy.

Contribution

This case report presents a rare instance of IUD migration with bladder stone formation and its cystoscopic management.

Findings

The migrated IUD was found in the bladder and had formed a stone.

Cystoscopy allowed for both diagnosis and removal of the IUD without bladder wall damage.

No extravesical protrusion of the device was observed during the procedure.

Abstract

Intrauterine device (IUD) migration is a rare complication of IUD placement. The current case is of a 32-year-old lady who presented with pregnancy following IUD failure. Subsequent imaging revealed intravesical migration of the IUD. A cystoscopic evaluation revealed a bladder stone (encrusted IUD), with no breach in the bladder mucosa and no evidence of a fistulous opening. The encrustation was broken down, and an intact IUD was retrieved. This video report shows the management of a migrated IUD complicated by a bladder stone using cystoscopy that not only allowed for a combined diagnostic and therapeutic approach to the extraction of the IUD but also provided information regarding the involvement of the bladder wall and confirmed no extravesical protrusion of the device.

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