{"title":"Forgotten Intrauterine Contraceptive Device Presenting as Vesicouterine Fistula - Migration or Misadventure.","authors":"Vidhyalakshmi Ramadoss Kabilan, J Karthiga Prabhu, Senthilkumar Thiagarajan, Divyabharathi Muthulingam, N Yashwanthini Priyankaa","doi":"10.4103/jmh.jmh_84_25","DOIUrl":null,"url":null,"abstract":"<p><p>Intrauterine contraceptive device (IUD) is one of the most commonly used long-term contraceptive methods worldwide. Migration of IUD is one of the rare complications of IUD insertion. Migrated IUD with calculus formation is a rarer long-term complication of IUD. A 55-year-old postmenopausal woman attended the outpatient clinic with complaints of continuous dribbling of urine. On examination, there was pooling of urine in the posterior fornix of the vagina, and the calcified vertical stem of the IUD was visualized through the cervical os. On evaluation, a giant calculus was noted within the bladder arising from the perforated IUD arm with vesicouterine fistula. Vesical lithotripsy followed by fistulous tract excision with repair of bladder wall was done.</p>","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":"16 2","pages":"221-223"},"PeriodicalIF":1.2000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237182/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Mid-life Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jmh.jmh_84_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Intrauterine contraceptive device (IUD) is one of the most commonly used long-term contraceptive methods worldwide. Migration of IUD is one of the rare complications of IUD insertion. Migrated IUD with calculus formation is a rarer long-term complication of IUD. A 55-year-old postmenopausal woman attended the outpatient clinic with complaints of continuous dribbling of urine. On examination, there was pooling of urine in the posterior fornix of the vagina, and the calcified vertical stem of the IUD was visualized through the cervical os. On evaluation, a giant calculus was noted within the bladder arising from the perforated IUD arm with vesicouterine fistula. Vesical lithotripsy followed by fistulous tract excision with repair of bladder wall was done.
期刊介绍：
Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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