Exercise-Induced Hematuria as the Main Manifestation of Migration of Intrauterine Contraceptive Device into the Bladder

Ricardo Brianezi Tiraboschi,José Bessa Junior,Carlos Henrique Suzuki Bellucci,Victor Pereira Paschoalin,Ellen Almeida Possidonio Costa,Michel Platiny Mascarenhas

doi:10.1155/2012/736426

Abstract

Intrauterine device (IUD) is a common contraceptive method, due to its cost-effectiveness and low complication rates. Uterine perforation is a possible complication and IUD migration to the bladder is a rare and morbid condition. The present report describes an interesting case in which the urinary manifestations started 13 years after insertion, and the main clinical finding was exercise-induced hematuria.

Highlights

Intrauterine device (IUD) is a widely used reversible contraceptive method, due to its cost-effectiveness and low complication rates [1]
We describe a case of intravesical IUD migration with urologic manifestations started 13 years after insertion, and the main clinical finding was exerciseinduced hematuria
After the IUD implant, she complained of suprapubic pain and vaginal bleeding treated with rest and analgesics, with remission of symptoms after approximately 1 month

Summary

Introduction

Intrauterine device (IUD) is a widely used reversible contraceptive method, due to its cost-effectiveness and low complication rates [1]. Serious complications are rare; migration to adjacent pelvic organs is described [2], including the bladder with stone formation and lower urinary tract symptoms [3]. We describe a case of intravesical IUD migration with urologic manifestations started 13 years after insertion, and the main clinical finding was exerciseinduced hematuria.

Results

Conclusion