Migration of IUCD into the Bladder with Stone Formation; Two Case Reports

Abstract

An IUCD is the most effective and reversible method of contraception worldwide. Few serious complications include uterine perforation and migration of the IUCD. We present two cases of displaced IUCD. A 40 years old female presented to Urology Department Government Sardar Begum Teaching Hospital with severe LUTS and suprapubic pain. She had history of IUCD placement about 10 years ago. She was diagnosed as a case of migrated IUCD into the bladder with stone formation. She was managed endoscopically with the help of stone punch (litholapaxy) and foreign body forceps was used for IUCD removal. In another case, a 37 years old female was referred from Gynae department to Urology department with the complaint of frequency, dysuria and lower abdominal pain. There was history of IUCD (Copper T) placement 4 years ago. She was also diagnosed as a case of migrated IUCD into the bladder with stone formation on one limb of IUCD. This patient was also managed endoscopically with the help of stone punch and foreign body forceps for removal of IUCD