A rare clinical case of migration of intrauterine device into the bladder

Relevance. Currently, there are about 50 types of intrauterine contraception, which are preferred by over 100 million women in the world to protect against unwanted pregnancy. Materials and methods. The article describes the clinical case of migration of the intrauterine device into the bladder cavity, which was established in the women's consultation for a year and a half before re-treatment. The device was T shaped with copper winding. The first clinical manifestation was dyspareunia, then the patient began to note dysuria. Dyspareunia developed immediately after the installation of the spiral. Migration was suspected by ultrasound of the bladder and pelvic organs and confirmed by computed tomography without contrast enhancement. Sent to surgical treatment in the city hospital 52. An attempt of transurethral, endoscopic extraction of the spiral, which was not successful, was made. Laparoscopic resection of the area of the left wall of the bladder containing the spiral was performed. She was discharged on the 7th day after surgery. At the control examination there were no complaints and feels well. Conclusion. When detecting migration of the intrauterine device into the wall of the bladder, the first stage shows transurethral, endoscopic extraction with cystolithotripsy, if necessary. If the endoscopic aid is ineffective, an open cystotomy or laparoscopic resection of the bladder wall with an intrauterine device is advisable.