Biomaterial Database

Intrauterine contraceptive device migration to the lower urinary tract: report of 2 cases. 2011

Po-Chun Ko, and Yi-Hao Lin, and Tsia-Shu Lo

Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Several instances of migration of intrauterine contraceptive devices (IUDs) into the bladder have been reported. Non-contrast-enhanced computed tomography enables excellent visualization of the sites of migrated IUDs. Herein are reported 2 cases of IUDs that migrated to the lower urinary tract. In the first case, the IUD migrated to the bladder. The site of the migrated IUD was accurately determined using 3-dimensional ultrasound. In the second case, the IUD migrated through the bladder to the opening of the urethra. Both cases were managed endoscopically, with excellent outcome. Three-dimensional ultrasound is an alternative method for localization of the site of a migrated IUD. We present the first case of an IUD migrating through the bladder to the opening of the urethra. Endoscopic retrieval is feasible and safe in cases with an intravesically migrated IUD.

UI	MeSH Term	Description	Entries
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D001743	Urinary Bladder	A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION.	Bladder,Bladder Detrusor Muscle,Detrusor Urinae,Bladder Detrusor Muscles,Bladder, Urinary,Detrusor Muscle, Bladder,Detrusor Muscles, Bladder
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D014463	Ultrasonography	The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz.	Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic
D014521	Urethra	A tube that transports URINE from the URINARY BLADDER to the outside of the body in both the sexes. It also has a reproductive function in the male by providing a passage for SPERM.	External Urethral Sphincter,External Urinary Sphincter,Internal Urethral Sphincter,Internal Urinary Sphincter,Internal Vesical Sphincter,Urethral Sphincters,External Urethral Sphincters,External Urinary Sphincters,Internal Urethral Sphincters,Internal Urinary Sphincters,Internal Vesical Sphincters,Sphincter, External Urethral,Sphincter, External Urinary,Sphincter, Internal Urethral,Sphincter, Internal Urinary,Sphincter, Internal Vesical,Sphincter, Urethral,Urethral Sphincter,Urethral Sphincter, External,Urethras,Urinary Sphincter, External,Urinary Sphincter, Internal,Vesical Sphincter, Internal
D058736	Intrauterine Device Migration	The shifting in position or location of an INTRAUTERINE DEVICE from its original placement.	IUD Migration,Device Migration, Intrauterine,Device Migrations, Intrauterine,IUD Migrations,Intrauterine Device Migrations,Migration, IUD,Migration, Intrauterine Device,Migrations, IUD,Migrations, Intrauterine Device