Bladder stone- how to cure?
Hello, my friend is 48-year-old woman underwent a workup for lower urinary tract symptoms and recurrent urinary tract infections over the previous 6 months. The radiographs showed a large bladder stone with an imprint of an intrauterine contraceptive device in the center of it. The device had been inserted 15 years previously. Two years after the insertion, it was considered to be missing, but our patient did not comply with the recommended follow-up. She had been completely asymptomatic until she developed lower urinary tract symptoms. What needs to be done, please suggest.
@analava The transmigration of an IUCD occurs due to traumatic primary perforation of the uterus or due to a long-term inflammatory process, the exact mechanism of which is not fully understood. The copper contained in some IUCDs can mount an inflammatory reaction that results in the contraceptive effect, but it can also be involved in the process of long-term uterine perforation and transmigration. A migrated IUCD can act as the nidus for the formation of a secondary bladder stone. A high index of suspicion should be kept in mind when managing patients with missing IUCDs complaining of bladder symptoms.