Clinical analysis of intrauterine device ectopic into bladder and formation bladder stones

Abstract

Objective To explore the cause diagnosis and treatment of bladder stones that caused by intrauterine device ectopic. Methods The clinical data of 24 patients with intrauterine device ectopic to bladder and formation bladder stones in our hospital from January 2007 to October 2018 were retrospectively analyzed. SPSS 19.0 statistical software was used for analysis. Results The age of the patients ranged from 30 to 67 years, average age was(40.12±2.24)years. The time of intrauterine device placement, postpartum 3-20 months, average (7.01±1.03)months. The time between implantation of intrauterine device and diagnosis of bladder stones was 5 to 24 years, average (8.12±2.12)years. CRP 6-40 mg/L, average(15.12±1.21)mg/L. Urinary leukocytes were 80-348 /UL, average (150.51 ±1.83)/UL. Creatinine was 70-127 μmol/L, average (95.21±2.31)μmol/L. Stones size was 1.0-5.4 cm, average (1.82±0.15)cm. Frequent micturition, urgent urination odynuria were 24 cases. Lower abdomen pains were 15 cases.There were 18 cases of hematuria, 2 cases of fever, 16 cases of dyspareunia, 10 cases of complete ectopic, 14 cases of partial ectopic(more than 1/2 of the intrauterine device entering the bladder part). Transurethral urethral cystoscope holmium laser lithotripsy and removal of foreign body forceps intrauterine device were 23 cases, suprapubic cystolithotomy was 1 case. Conclusions Intrauterine device ectopic to bladder and formation bladder stones is one of the important complications of intrauterine device. Frequent micturition, urgent urination odynuria, lower abdomen pains, dyspareunia and hematuria are the main clinical manifestations. CT and 3D reconstruction of urinary system are important methods for diagnosis of localization and qualitative. Transurethral urethral cystoscope holmium laser lithotripsy and removal of foreign body forceps intrauterine device is a safe and feasible minimally invasive treatment, which is worthy of clinical application. Key words: Intrauterine Devices; Urinary Bladder; Urinary Bladder Calculi