Intravesical migration of intrauterine device

Polanco Pujol, L.; Rodríguez Fernández, E.; Bueno Chomón, G.; Caño Velasco, J.; Quintana Álvarez, R.; Cancho Gil, M.J.; Hernández Fernández, C.

doi:10.1016/j.acuroe.2020.08.009

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Polanco Pujol, E. Rodríguez Fernández, G. Bueno Chomón, J. Caño Velasco, R. Quintana Álvarez, M.J. Cancho Gil, C. Hernández Fernández" "autores" => array:7 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Polanco Pujol" "email" => array:1 [ 0 => "lpolancopujol@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Rodríguez Fernández" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Bueno Chomón" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Caño Velasco" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Quintana Álvarez" ] 5 => array:2 [ "nombre" => "M.J." "apellidos" => "Cancho Gil" ] 6 => array:2 [ "nombre" => "C." "apellidos" => "Hernández Fernández" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Migración intravesical de dispositivo intrauterino" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1209 "Ancho" => 1305 "Tamanyo" => 237866 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0055" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "(A) Foreign body calcified in bladder dome. (B) CT scan with calcified intravesical device. (C) Partial cystectomy specimen with IUD. gr1." ] ] ] "textoCompleto" => "Intravesical foreign bodies should be included in the differential diagnosis of patients with lower urinary tract conditions. Intravesical migration of intrauterine devices (IUDs) as a result of inadvertent perforation of the uterus during insertion is a rare complication (1/1,000).<a class="elsevierStyleCrossRef" href="#bib0005">1</a> Irritative symptoms together with the absence of the device in exploration should arouse the suspicion of this situation.Although the endoscopic removal is considered the first treatment option,<a class="elsevierStyleCrossRef" href="#bib0010">2</a> bladder wall involvement may require laparoscopic treatment.<a class="elsevierStyleCrossRef" href="#bib0015">3</a>We present the case of a 37-year-old woman with a history of IUD placement 15 years ago, without any complications related to the procedure. The patient was found to be pregnant within the first months of IUD insertion. As the device was not identified in an ambulatory gynecology exploration, it was assumed that it had been expelled unnoticeably.She is referred to urology consultation due to an irritative voiding syndrome, with long evolution (years) of dysuria and macroscopic hematuria associating repeated urinary infections. Urine culture was negative. Cystoscopy showed a calcified foreign body of approximately 2cm located in the bladder dome (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). In the CT scan that was carried out to complete the evaluation, a metallic device was observed at the previously mentioned level with potential transmural affectation (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Finally, a laparoscopic partial cystectomy was performed by transperitoneal approach, obtaining a segment of the bladder wall with an embedded calcified IUD device (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C).The migration of an IUD into the bladder is a slow process, which explains the late development of urinary symptoms. These are usually irritative, non-specific symptoms, repeat urinary infections and/or hematuria. As it is a safe and effective technique, the endoscopic removal is the first treatment option. However, in cases when the transmural affectation does not allow this approach, the laparoscopic treatment is an alternative with low comorbidity." 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(C) Partial cystectomy specimen with IUD. gr1." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ureteral displacement due to a migrated intrauterine contraceptive device" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Sirikci" 1 => "K. Sarica" 2 => "M. Bayram" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000064869" "Revista" => array:6 [ "tituloSerie" => "Urol Int" "fecha" => "2000" "volumen" => "65" "paginaInicial" => "179" "paginaFinal" => "180" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11054041" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vesical transmigration of an intrauterine contraceptive device: A rare case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "Wei Chai" 1 => "Wenlei Zhang" 2 => "Guifeng Jia" 3 => "Miao Cui" 4 => "Lifeng Cui" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/MD.0000000000008236" "Revista" => array:6 [ "tituloSerie" => "Medicine" "fecha" => "2017" "volumen" => "96" "numero" => "40" "paginaInicial" => "e8236" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28984781" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Removal of foreign bodies embedded in the urinary bladder wall by a combination of laparoscopy and carbon dioxide cystoscopic assistance: case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Jin" 1 => "Y. Fan" 2 => "Q. Zhang" 3 => "Y. Wang" 4 => "S. Wu" 5 => "J. Jin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4111/icu.2016.57.6.449" "Revista" => array:6 [ "tituloSerie" => "Investig Clin Urol" "fecha" => "2016" "volumen" => "57" "paginaInicial" => "449" "paginaFinal" => "452" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27847920" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735786/0000004500000001/v1_202101060759/S2173578620301542/v1_202101060759/en/main.assets" "Apartado" => array:4 [ "identificador" => "6296" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735786/0000004500000001/v1_202101060759/S2173578620301542/v1_202101060759/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578620301542?idApp=UINPBA00004N"]

ISSN: 2173-5786

Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided. It has high visibility and accessibility and is found in the most important data bases, Medline/Pubmed, Emabase, JCR, Ïndice Médico Español, Índice bibliográfico Español en Ciencias de la Salud (IBECS), Cuiden, Dialnet, Hinari, Scopus, Google Scholar.

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