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Case Reports
. 2023 Jan 27:2023:8074689.
doi: 10.1155/2023/8074689. eCollection 2023.

Robot-Assisted Removal of a Partially Intravesical Intrauterine Device (IUD) and Large Bladder Stone

Cassandra Heaney  1 , Paul Lee  1 , Andrew Winer  1
Affiliations
Case Reports

Robot-Assisted Removal of a Partially Intravesical Intrauterine Device (IUD) and Large Bladder Stone

Cassandra Heaney et al. Case Rep Urol. .

Abstract

An intrauterine device (IUD) is a highly effective and widely utilized option for long-acting reversible contraception. IUDs are generally well-tolerated with a low rate of serious complications. Perforation of an IUD through the uterine wall and into the urinary bladder is a rare event that may be asymptomatic. The approach for surgical removal primarily depends on the location of the device. We present a case report of a 41-year-old woman who was found to have a partially intravesical IUD and associated 2.4 cm bladder calculus. Removal of the intravesical IUD and stone was achieved with cystoscopy, cystolitholapaxy, and robot-assisted laparoscopic cystotomy.

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Conflict of interest statement

The authors declare that here is no conflict of interest.

Figures

Figure 1
Figure 1
Sagittal and coronal noncontrast CT images showing large bladder calculus (red asterisk) and portion of partially intravesical T-shaped foreign body lodged in right anterior bladder wall (red arrow).
Figure 2
Figure 2
(a) Scarred peritoneum overlying the right anterior bladder dome at site of likely IUD translocation (arrow). (b) After partially entering the space of Retzius, the extravesical part of the IUD was identified. (c) A subcentimeter cystotomy was made to free the intravesical portion of the IUD and facilitate removal of the device.
Figure 3
Figure 3
IUD specimen following surgical removal from the bladder.
See this image and copyright information in PMC

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