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Secondary Vesical Calculus Formation Due To Intravesical Migration Of Contraceptive Device, A Case Report

Authors

Ahmad Sajjad
Assistant Professor of Urology, HITEC Institute of Medical Sciences (HITEC IMS), Taxila, Pakistan
Riaz Anwar Bashir
Head of Department of Surgery, HITEC Institute of Medical Sciences (HITEC IMS), Taxila, Pakistan
Hasnain Ahmad
Registrar, Surgery & Allied, HITEC Institute of Medical Sciences (HITEC IMS), Taxila, Pakistan
Muhammad Tabish
House Officer, Urology, HITEC Institute of Medical Sciences (HITEC IMS), Taxila, Pakistan
Nouman Ahmad
House Officer, Urology, HITEC Institute of Medical Sciences (HITEC IMS), Taxila, Pakistan

Abstract

Intrauterine contraceptive devices (IUCDs) are the most effective and long term, reversible, contraceptive method, used worldwide. Uterine perforation resulting in migration of IUCD into adjacent organs is an uncommon but potentially serious complication. Intravesical migration may lead to lower urinary tract symptoms, recurrent urinary tract infections, and bladder stone formation. A 50-year-old multiparous woman presented with intermittent burning micturition for one month. An ultrasound examination performed for evaluation of chronic abdominal pain incidentally revealed a large vesical calculus. Subsequent non-contrast computed tomography (CT) of the abdomen and pelvis demonstrated a 4.8 × 1.4 cm bladder stone surrounding a T-shaped foreign body consistent with a migrated Copper-T IUCD. Further history revealed probable IUCD insertion about 17 years earlier. The patient underwent cystoscopy and endoscopic litholapaxy with successful fragmentation and removal of the vesical calculus and embedded IUCD fragments.The postoperative course was uneventful. The patient experienced complete resolution of urinary symptoms and remained asymptomatic at follow-up. Although rare, intravesical migration of an IUCD should be considered in women presenting with persistent lower urinary tract symptoms or vesical calculi, particularly when there is a history of IUCD insertion. Early diagnosis and timely intervention can prevent long-term complications.
Keywords: Bladder stone, Copper-T, Cystoscopy, Intravesical migration, IUCD, Vesical calculus.

How to cite this article

Sajjad A, Bashir RA, Ahmad H, Tabish M, Ahmad N. Secondary Vesical Calculus Formation Due to Intravesical Migration of a Copper-T Intrauterine Contraceptive Device: A Case Report. HMDJ. 2026 June; 06(01): 66-69.
DOI: https://doi.org/10.69884/hmdj.6.1.3451

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