Intrauterine Device Migration to the Urinary Bladder Causing Sexual Dysfunction: a Case Report

Overview

Journal Hippokratia

Specialty General Medicine

Date 2016 Nov 30

PMID 27895447

Citations 5

Authors

K Dimitropoulos

K Skriapas

G Karvounis

V Tzortzis

Affiliations

Soon will be listed here.

Abstract

Background: Intravesical migration represents an uncommon complication of intrauterine device (IUD) insertion. We present the case of an IUD that migrated to the urinary bladder, causing significant sexual complaints.

Case Report: A 38-year-old woman presented with complaints of gradually evolving dyspareunia and recurrent urinary tract infections during the past 12 months. She reported an IUD insertion 18 months before. Further detailed evaluation revealed disorders in all sexual domains. Imaging and cystoscopy detected the presence of IUD in the urinary bladder. Under anesthesia, the IUD was removed out of the bladder without any complications. In her follow-up evaluation after six months, her sexual function was significantly improved and she had no urinary symptoms.

Conclusion: Sexual difficulties in a woman with an IUD should raise the suspicion of device dislodgement or dislocation. Hippokratia 2016, 20(1): 70-72.

Citing Articles

Endoscopic Removal of Intrauterine Contraceptive Device Perforating Into the Bladder: A Case Report and Review of Literature.

Wahba A, Auer-Schmidt M, Schmidt T Cureus. 2023; 15(3):e35839.

PMID: 37033574 PMC: 10076683. DOI: 10.7759/cureus.35839.

Robot-Assisted Removal of a Partially Intravesical Intrauterine Device (IUD) and Large Bladder Stone.

Heaney C, Lee P, Winer A Case Rep Urol. 2023; 2023:8074689.

PMID: 36742352 PMC: 9897916. DOI: 10.1155/2023/8074689.

An Interesting Image of Transmural Migration of a Levonorgestrel-Releasing Intrauterine Device (LNg-IUD).

Mitranovici M, Chiorean D, Sabau A, Cocuz I, Tinca A, Marginean M Diagnostics (Basel). 2022; 12(9).

PMID: 36140629 PMC: 9498182. DOI: 10.3390/diagnostics12092227.

Gross Hematuria Caused by Intravesical Migration of a Forgotten Intrauterine Device: A Case Report and Literature Review.

Salih M, Tefera A, Gebrehiwot F, Mideksa A, Halala N, Gebreselassie K Res Rep Urol. 2022; 14:291-296.

PMID: 36060306 PMC: 9432567. DOI: 10.2147/RRU.S364889.

An Unusual Cause of Vesical Calculi.

Jamburaj A, Darlington D, Chinnathambi J Cureus. 2020; 12(1):e6701.

PMID: 32117652 PMC: 7029823. DOI: 10.7759/cureus.6701.

References

Salonia A, Clementi M, Graziottin A, Nappi R, Castiglione F, Ferrari M . Secondary provoked vestibulodynia in sexually active women with uncomplicated recurrent urinary tract infections. J Sex Med. 2013; 10(9):2265-73. DOI: 10.1111/jsm.12242. View

Kart M, Gulecen T, Ustuner M, Ciftci S, Yavuz U, Ozkurkcugil C . Intravesical Migration of Missed Intrauterine Device Associated with Stone Formation: A Case Report and Review of the Literature. Case Rep Urol. 2015; 2015:581697. PMC: 4515526. DOI: 10.1155/2015/581697. View

Gyasi-Sarpong C, Maison P, Morhe E, Aboah K, Appiah K, Azorliade R . Intravesical migration of an intrauterine device. BMC Res Notes. 2016; 9:4. PMC: 4698325. DOI: 10.1186/s13104-015-1792-6. View

Yahsi S, Aktas B, Erbay G, Salar R, Gokkaya C . Intravesical migration of intrauterine device mimicking bladder stone on radiologic imaging: a case report. Indian J Surg. 2015; 77(Suppl 1):97-9. PMC: 4425754. DOI: 10.1007/s12262-014-1176-5. View

Scovell J, Chan R, Smith C . Transurethral use of a nephroscope significantly AIDS in the surgical management of an intrauterine device eroding into the bladder. Female Pelvic Med Reconstr Surg. 2014; 20(6):e8-11. DOI: 10.1097/SPV.0000000000000121. View

Chuang Y, Yang W, Lee R, Hwu Y . Laparoscopic removal of a migrated intrauterine contraceptive device with bladder penetration. Taiwan J Obstet Gynecol. 2011; 49(4):518-20. DOI: 10.1016/S1028-4559(10)60108-8. View

Nouira Y, Rakrouki S, Gargouri M, Fitouri Z, Horchani A . Intravesical migration of an intrauterine contraceptive device complicated by bladder stone: a report of six cases. Int Urogynecol J Pelvic Floor Dysfunct. 2006; 18(5):575-8. DOI: 10.1007/s00192-006-0157-z. View

Basson R, Althof S, Davis S, Fugl-Meyer K, Goldstein I, Leiblum S . Summary of the recommendations on sexual dysfunctions in women. J Sex Med. 2006; 1(1):24-34. DOI: 10.1111/j.1743-6109.2004.10105.x. View

El-Hefnawy A, El-Nahas A, Osman Y, Bazeed M . Urinary complications of migrated intrauterine contraceptive device. Int Urogynecol J Pelvic Floor Dysfunct. 2007; 19(2):241-5. DOI: 10.1007/s00192-007-0413-x. View

10.

Guner B, Arikan O, Atis G, Canat L, Caskurlu T . Intravesical migration of an intrauterine device. Urol J. 2013; 10(1):818-20. View

11.

Markovitch O, Klein Z, Gidoni Y, Holzinger M, Beyth Y . Extrauterine mislocated IUD: is surgical removal mandatory?. Contraception. 2002; 66(2):105-8. DOI: 10.1016/s0010-7824(02)00327-x. View

12.

Shin D, Kim T, 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. 2011; 23(8):1129-31. PMC: 3396349. DOI: 10.1007/s00192-011-1632-8. View

13.

Istanbulluoglu M, Ozcimen E, Ozturk B, Uckuyu A, Cicek T, Gonen M . Bladder perforation related to intrauterine device. J Chin Med Assoc. 2008; 71(4):207-9. DOI: 10.1016/S1726-4901(08)70105-9. View

14.

Basson R, Leiblum S, Brotto L, DeRogatis L, Fourcroy J, Fugl-Meyer K . Revised definitions of women's sexual dysfunction. J Sex Med. 2006; 1(1):40-8. DOI: 10.1111/j.1743-6109.2004.10107.x. View

15.

Bargiota A, Dimitropoulos K, Tzortzis V, Koukoulis G . Sexual dysfunction in diabetic women. Hormones (Athens). 2011; 10(3):196-206. DOI: 10.14310/horm.2002.1309. View

16.

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R . The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000; 26(2):191-208. DOI: 10.1080/009262300278597. View