Abstract

Intrauterine device (IUD) is the commonest method of contraception used by women. Complete migration into the urinary bladder though rare, results in lower urinary tract symptoms and stone formation around the migrated IUD. We present a 53 year old woman with a missing IUD (Copper T) who presented with lower urinary tract symptoms and haematuria. Cystoscopy showed a bladder stone anchored to the anterior bladder wall by an intrauterine device. She had cystolithotomy and retrieval of oblong shaped stone measuring about 3cm and intact IUD (Copper T) after failed endoscopic procedure. Adequate counselling prior to insertion is important. This will reduce the incidence of missing IUD.

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