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International Urogynecology Journal

, Volume 30, Issue 2, pp 325–326 | Cite as

Successful removal of an intrauterine device perforating the uterus and the bladder with the aid of a transurethral nephroscope

  • Haiying Niu
  • Lizhi Zhang
  • Shijie Yao
  • Quanxin QuEmail author
IUJ Video
  • 47 Downloads

Abstract

Aim

An IUD perforating the uterus and bladder and creating a nidus for stone formation is a rare complication. We aim to demonstrate with a video a novel surgical technique that involves transcervically extracting a perforating IUD with a transurethral nephroscope after removal of the bladder stone on the IUD.

Methods

A 57-year-old woman was referred to our department 4 months ago following a 2-year history of suprapubic pain at the end of urination. Ultrasound and X-ray examination confirmed an IUD perforating the uterus and the bladder. The patient underwent transurethral holmium laser lithotripsy and transcervical removal of the IUD with the aid of a transurethral nephroscope.

Results

The stone on the perforating ectopic IUD was successfully removed and the IUD was extracted without complications.

Conclusion

This video demonstrates a rare case of an IUD that perforated both the bladder and the uterine walls and created a nidus for stone formation in the bladder. The surgical technique involved in removing the stone and extracting the IUD is a new approach to treating this problem. It is suspected that this specific surgical intervention may also help to minimize the formation of a larger vesico-uterine fistula by decreasing the extent of trauma potentially created when extracting the IUD. However, this supposition merits further study.

Keywords

IUD Perforation Bladder Transurethral nephroscope 

Notes

Compliance with ethical standards

Conflicts of interests

None.

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material

ESM 1

(MP4 100171 kb)

References

  1. 1.
    El-Hefnawy AS, El-Nahas AR, Osman Y, Bazeed MA. Urinary complications of migrated intrauterine contraceptive device. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(2):241–5.  https://doi.org/10.1007/s00192-007-0413-x.CrossRefGoogle Scholar
  2. 2.
    Shin DG, Kim TN, Lee W. Intrauterine device embedded into the bladder wall with stone formation: laparoscopic removal is a minimally invasive alternative to open surgery. Int Urogynecol J. 2012;23(8):1129–31.  https://doi.org/10.1007/s00192-011-1632-8.CrossRefGoogle Scholar
  3. 3.
    Niu H, Qu Q, Yang X, Zhang L. Partial perforation of the bladder by an intrauterine device in a pregnant woman: a case report. J Reprod Med. 2015;60(11–12):543–6.Google Scholar

Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyTianjin First Center HospitalTianjinChina
  2. 2.Department of UrologyTianjin First Center HospitalTianjinChina

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