Endoscopic retrieval of intrauterine contraceptive device from urinary bladder

Pradnya Rajendra Changede, Shubhrita Sheokumar Gupta, Niranjan Narayanrao Chavan


Contraception is the need of hour in a developing country like India. Intrauterine contraceptive devices (IUCDs) are amongst the most frequently used spacing method of contraception. The patients with misplaced IUCDs may present with ‘lost strings’, pregnancies or they may remain asymptomatic. The case report describes successful endoscopic retrieval of intrauterine contraceptive device from urinary bladder. X-ray, ultrasound and computed tomography (CT) urography of the pelvis showed IUCD to be lying outside the uterus and on cystoscopy IUCD was removed from urinary bladder.


Intrauterine contraceptive device, Urinary bladder, Computed tomography urography, Cystoscopy

Full Text:



Levsky JM, Herskovits M. Incidental detection of a transmigrated intrauterine device. Emerg Radiol 2005;11:312-4.

Zakin D, Stern WZ, Rosenblatt R. Complete and partial uterine perforation and embedding following insertion of intrauterine devices. Obstet Gynaecol Surg. 1981;36:335-53.

Kriplani A, Garg P, Sharma M, Agarwal N. Laparoscopic removal of extrauterine IUCD using fluoroscopy guidance: a case report. J Gynaecol Surg. 2005;21(1):29-30.

Key TC, Kreutner AK. Gastrointestinal complications of modern intrauterine contraceptive device. Obstet Gynecol. 1980;55:239-44.

Singh I. Intravesical cu-T emigration: an atypical and infrequent cause of vesical calculus. Int Urol Nephrol. 2007; 39(2):457-9.

Carson SA, Gatlin A, Mazur M. Appendiceal perforation by copper-7 intrauterine contraceptive device. Am J Obstet Gynecol. 1981;141(5):586-7.

Laxmi M, Hemlata J, Rani LP. An unusual case of copper-T in rectum. J Obstet Gynecol India. 2005;55(1):79-80.

Heartwell S, Schlesselman S. Risk of uterine perforation among users of intrauterine devices. Obstet Gynecol. 1983;61:31-6.

Treisser A, Colau JC. Causes, diagnosis and treatment of uterine perforations by intrauterine devices. J Gynecol Obstet Biol Reprod. 1978;7:837-47.

Haimove-Kochman R, Amsalen H, Adoni A, Lavy Y, Spitz IM. Management of perforated levonorgestrel-medicated intrauterine device -- a pharmacokinetic study: case report. Hum Reprod. 2003;18:1231-3.

Ismail H, Mansour D. The ‘tail’ of a missing intrauterine contraceptive device. J Fam Plann Repord Health Care. 2002;28:96-7.

Hasanain FH. The misplaced IUCD. Int J Gynaecol Obstet. 2002;78:251-2.

Barsanul M, Sharma N, Sangwan K. 324 cases of misplaced IUCD: a 5-year study. Trop Doct. 2003;33:11-2.

Markovitch O, Klein Z, Gidoni Y, Holzinger M, Beyth Y. Extrauterine mislocated IUCD: is surgical removal Mandatory? Contraception. 2002;66:105-8.

Trivedi SS, Goel M, Jain S. Hysteroscopic management of intra-uterine devices with lost strings. Br J Fam Plann. 2000:26:229-30.