Authors:
Cem Atabekoğlu Department of Obstetrics and Gynecology, Ankara University Faculty of Medicine, Ankara, Turkey

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İbrahim Yalçin Department of Obstetrics and Gynecology, Ankara University Faculty of Medicine, Ankara, Turkey
Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara Üniversitesi Tıp Fakültesi, 06100, Cebeci, Ankara, Turkey

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Salih Taşkin Department of Obstetrics and Gynecology, Ankara University Faculty of Medicine, Ankara, Turkey

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Korhan Kahraman Department of Obstetrics and Gynecology, Ankara University Faculty of Medicine, Ankara, Turkey

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Murat Sönmezer Department of Obstetrics and Gynecology, Ankara University Faculty of Medicine, Ankara, Turkey

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Abstract

Objective: Intrauterine device (IUD) is a widely used contraceptive method. Uterus perforation caused by an IUD is seen frequently, but intravesical migration with secondary stone formation is a rare complication. In this article, we report a case of an intravesical migrating IUD removed by laparoscopy. Result(s): A 48-year-old woman in whom the last IUD was inserted 15 years ago was presented with voiding symptoms including frequency, dysuria, and difficulty in urination. Plain X-ray and ultrasonography showed an IUD at the dome of the urinary bladder and a urinary stone at the bladder neck. The patient underwent cystoscopy and these imaging findings were evaluated at laparoscopy. The IUD which was seen on the right side of the bladder dome was covered by the peritoneum and omentum. After dissection of omentum and peritoneum, the IUD was seen at the wall of the bladder. Then, the IUD removed. Conclusion(s): Because of the irritative voiding symptoms, extraneous material in the urothelium leading to stone formation, and the possible occurrence of a squamous cell carcinoma, all IUDs that migrate to the bladder should be removed. Management of these cases can be performed successfully via the endoscopic approach.

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  • 3. N. Eke et al.2003 Extrauterine translocated contraceptive device: a presentation of five cases and revisit of the enigmatic issues of iatrogenic perforation and migration Afr J Reprod Health 7 117 123.

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  • 4. Y. Nouira et al.2007 Intravesical migration of an intrauterine contraceptive device complicated by bladder stone: a report of six cases Int Urogynecol J Pelvic Floor Dysfunct 18 575 578.

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  • 7. A.S. El-Hefnawy et al.2008 Urinary complications of migrated intrauterine contraceptive device Int Urogynecol J Pelvic Floor Dysfunct 19 2 241 245.

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  • 8. M.I. Gökce et al.2010 Squamous cell carcinoma of the bladder associated with chronic irritation related to a migrated intrauterine device Scand J Urol Nephrol 4 44 183 185.

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2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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