Intrauterine device migration to bladder
Keywords:
PALABRAS CLAVE, perforación uterina, migración de dispositivo intrauterino, migración de cuerpo extraño, litiasis vesical, cistitis, recuperación mejorada después de la cirugía.Abstract
Introduction: Secondary bladder lithiasis is formed in the bladder reservoir and requires the existence of previous pathological conditions such as foreign bodies. Objective: To describe two clinical cases of bladder lithiasis secondary to intrauterine device migration.Clinical case report: Two cases of intravesical migration of an intrauterine device with secondary bladder stones are reported. They were diagnosed years after insertion, due to the appearance of pelvic pain, recurrent cystitis and hematuria. Laparoscopy was not helpful for its diagnosis. In Urology consultation, ultrasound and pelvic radiography were useful diagnostic tools in the event of the initial suspicion of this pathology. They showed good evolution and total regression of symptoms after suprapubic cystolithotomy.Conclusion: The possibility of an intrauterine device migration to the bladder should be considered when chronicity of irritative low urinary symptoms in every woman who uses this contraceptive method and which locations are unknown.
Keywords: uterine perforation; intrauterine device migration; foreign body migration; bladder lithiasis; cystitis.
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