Open Access

RESIDENT’S CORNER

Early pregnancy likely caused by an intravesical intrauterine device

Jim K. Shen, Edmund Y. Ko, Andrea Staack

Department of Urology, Loma Linda University Health, Loma Linda, California, USA
Address correspondence to Dr. Andrea Staack, Department of Urology, Loma Linda University School of Medicine, 11234 Anderson Street, Room A560, Loma Linda, CA, 92354 USA

Canadian Journal of Urology 2016, 23(5), 8487-8490.

Abstract

A 42-year-old female with remote history of intrauterine device (IUD) placement presented with gross hematuria, urinary urgency, and dyspareunia. Cystoscopy showed an encrusted, free-floating intravesical foreign body consistent with a heavily calcified IUD. It was removed endoscopically using holmium laser cystolitholapaxy. The patient remained symptom free postoperatively. While most intravesical IUDs are thought to be the result of migration after several months, this patient became pregnant within 4 weeks after initial insertion. Therefore this may represent a case either of early intravesical migration or of accidental IUD placement into the bladder at the time of initial insertion.

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