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array:23 [ "pii" => "S2173578620301542" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2020.08.009" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "1303" "copyright" => "AEU" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Urol Esp. 2021;45:90-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210480620301893" "issn" => "02104806" "doi" => "10.1016/j.acuro.2020.08.005" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "1303" "copyright" => "AEU" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Urol Esp. 2021;45:90-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>" "titulo" => "Migración intravesical de dispositivo intrauterino" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "90" "paginaFinal" => "91" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intravesical migration of intrauterine device" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1209 "Ancho" => 1305 "Tamanyo" => 237866 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Cuerpo extraño calcificado en cúpula vesical. B) TC con dispositivo calcificado a nivel intravesical. C) Pieza de cistectomía parcial con DIU.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. 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:2 [ "nombre" => "L." "apellidos" => "Polanco Pujol" ] 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" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173578620301542" "doi" => "10.1016/j.acuroe.2020.08.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578620301542?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480620301893?idApp=UINPBA00004N" "url" => "/02104806/0000004500000001/v1_202101030653/S0210480620301893/v1_202101030653/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2173578620301530" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2020.08.008" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "1302" "copyright" => "AEU" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2021;45:83-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Evolution of male patients with detrusor underactivity and conservative treatment. 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Seguimiento a cinco años" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1329 "Ancho" => 1524 "Tamanyo" => 104843 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Survival curve without CIC.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Morán, I. Sáez, J. Bolón, O. Colet, M.A. Bonillo, E. Martínez-Cuenca, E. Broseta, S. Arlandis" "autores" => array:8 [ 0 => array:2 [ "nombre" => "E." 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"apellidos" => "Arlandis" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210480620301881" "doi" => "10.1016/j.acuro.2020.08.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480620301881?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578620301530?idApp=UINPBA00004N" "url" => "/21735786/0000004500000001/v1_202101060759/S2173578620301530/v1_202101060759/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Intravesical migration of intrauterine device" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear editor,</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "90" "paginaFinal" => "91" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L. 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" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Foreign body calcified in bladder dome. (B) CT scan with calcified intravesical device. (C) Partial cystectomy specimen with IUD. gr1.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">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"><span class="elsevierStyleSup">1</span></a> Irritative symptoms together with the absence of the device in exploration should arouse the suspicion of this situation.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Although the endoscopic removal is considered the first treatment option,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> bladder wall involvement may require laparoscopic treatment.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">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.</p><p id="par0020" class="elsevierStylePara elsevierViewall">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 2<span class="elsevierStyleHsp" style=""></span>cm 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).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">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).</p><p id="par0030" class="elsevierStylePara elsevierViewall">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.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-07-11" "fechaAceptado" => "2020-08-22" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Polanco Pujol L, Rodríguez Fernández E, Bueno Chomón G, et al. Migración intravesical de dispositivo intrauterino. Actas Urol Esp. 2021;45:88–89.</p>" ] ] "multimedia" => array:1 [ 0 => 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" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Foreign body calcified in bladder dome. (B) CT scan with calcified intravesical device. (C) Partial cystectomy specimen with IUD. gr1.</p>" ] ] ] "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" ]
