Minimally invasive transurethral holmium laser surgery for the management of an IUD with bladder migration.

IF 1.9 4区医学 Q3 OBSTETRICS & GYNECOLOGY

European Journal of Contraception and Reproductive Health Care Pub Date : 2024-04-01 Epub Date: 2024-01-29 DOI:10.1080/13625187.2023.2298357

Dawei Ni, Kun Liu, Mingming Lu, Can Wei, Yanbin Zhang

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引用次数: 0

Abstract

Case: Intrauterine device (IUD) is used worldwide as an effective contraceptive method, but the migration of IUD is a serious complication. We report the case of IUD migration leading to bladder calculus formation and a minimally invasive transurethral surgical approach was performed for treatment. Holmium laser was used to break up the bladder calculus and cut through the bladder mucosa where the IUD was attached, finally the IUD was removed through the urethra. This minimally invasive procedure is a safe and effective treatment for IUD migration, and similar cases have not been reported in the literature.

Conclusion: That the secondary bladder calculus were smashed by intense pulse mode of holmium laser, and the bladder tissue around the attached IUD was opened by cutting mode of holmium laser, and finally the IUD was completely removed from urethra, this surgical method is safe and effective, and there is no case report on IUD removal of transurethral cystoscope in the literature.

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经尿道钬激光微创手术治疗宫内节育器膀胱移位。

病例：宫内节育器（IUD）作为一种有效的避孕方法在全世界广泛使用，但宫内节育器移位是一种严重的并发症。我们报告了一例宫内节育器移位导致膀胱结石形成的病例，并采用经尿道微创手术方法进行治疗。手术使用钬激光击碎膀胱结石，并切开连接宫内节育器的膀胱粘膜，最后经尿道取出宫内节育器。这种微创手术是治疗宫内节育器移位的一种安全有效的方法，类似病例在文献中尚未见报道：结论：通过钬激光的强脉冲模式击碎继发性膀胱结石，并通过钬激光的切割模式打开宫内节育器周围的膀胱组织，最后从尿道将宫内节育器完全取出，这种手术方法安全有效，目前文献中还没有经尿道膀胱镜取出宫内节育器的病例报道。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Contraception and Reproductive Health Care 医学-妇产科学

CiteScore

3.70

自引率

11.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Official Journal of the European Society of Contraception and Reproductive Health, The European Journal of Contraception and Reproductive Health Care publishes original peer-reviewed research papers as well as review papers and other appropriate educational material.