# 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.

## Key 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.