TRANSLOCATION OF AN INTRAUTERINE CONTRACEPTIVE DEVICE INTO THE BLADDER: A CASE REPORT

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Published 2026-05-20
Bagus Gilang Samudra Reza Ishak Estiko Ahmad Zulfan Hendri Proginova Dian Yudatama

Abstract

Introduction: The most popular method of reversible contraception in women is the intrauterine contraceptive device (IUD). The risk of perforation elevates during the postpartum period, as well as during lactation and amenorrhea. The likelihood of perforation is higher in lactating women and during IUD insertion within 36 weeks after childbirth. Objective: This case report details the migration of an Intrauterine Device (IUD) into the bladder. Case(s) Presentation: A woman in her 40s had been experiencing persistent urinary tract infections (UTI) for a year. Four years after the birth of her third child, the patient had an IUD inserted. Unexpectedly, one year later, she delivered her fourth child. Following seven years, she experienced persistent UTI symptoms. The IUD was identified by plain abdominal radiography and removed utilizing cystoscopy and vesicolithotripsy procedures. Discussion: It has been well known that IUD dislocation likelihood is high during IUD insertion within 36 weeks after childbirth. Our case is exceptionally rare since the IUD insertion took place four years after delivery. Conclusion: We highlight the importance of considering the possibility of IUD migration when the user gives birth and then experiences persistent UTI. Plain radiography can discover the location of the IUD, and cystoscopy and vesicolithotripsy can be used for removal. Keywords: Bladder, intrauterine contraceptive device, plain abdominal radiography, translocation, urinary tract infection.


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Keywords

Bladder, intrauterine contraceptive device, plain abdominal radiography, translocation, urinary tract infection

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Department of Urology, Faculty of Medicine/Airlangga University