宫内节育器(IUD)是世界上第二广泛使用的避孕方法。高达14%的女性更喜欢宫内节育器,因为它有吸引力的优势,如成本效益,效率高,并发症发生率低。尽管有这些优势,然而,可能会出现一些并发症。这些并发症之一是子宫穿孔和装置迁移,累及邻近的内脏,如腹膜,肠,船只,很少膀胱。宫内节育器移入膀胱并不常见,文献中仅报道了70例。复发性尿路感染和膀胱结石是最常见的表现,and,很少,女性可表现为肉眼血尿。在评估IUD插入后报告怀孕的妇女时,需要高度怀疑,因为这可能是怀疑移民的第一个线索。被遗忘和长期使用的宫内节育器会增加子宫穿孔和迁移的风险。常规的腹部X线摄影,膀胱镜检查,经阴道超声检查是诊断。在选定的病例中也可以采用计算机断层扫描来描绘解剖关系。泌尿科医师应考虑膀胱异物,例如复发性下尿路感染的女性中的IUD。年轻女性的肉眼血尿应该提醒泌尿科医生,评估应详细说明避孕史.每个迁移的宫内节育器应通过内窥镜取出,腹腔镜检查,或者开腹手术.建议在插入宫内节育器前后对妇女进行适当的随访和教育,以及时发现并发症。这里,我们报道了1例患者成功进行了开放性手术治疗,该患者因膀胱移行而出现肉眼血尿,已被遗忘宫内节育器15年.至于我们的文献检索,埃塞俄比亚一家泌尿外科中心没有报告类似病例.
Intrauterine device (IUD) is the second most widely used method of contraception worldwide. Up to 14% women prefer IUD for its attractive advantages such as cost effectiveness, high efficiency, and low complication rate. Despite these advantages, however, some complications may occur. One of these complications is uterine perforation and migration of the device to involve adjacent viscera such as peritoneum, bowel, vessels, and rarely bladder. IUD migration into the urinary bladder is uncommon, and only 70 cases are reported in the literature. Recurrent urinary tract infection and bladder calculi are the commonest presentations, and, rarely, women can present with gross hematuria. A high index of suspicion is needed in the evaluation of women who report pregnancy after IUD insertion as it might be the first clue to suspect migration. A forgotten and long-standing IUD increases the risk of uterine perforation and migration. A routine abdominal radiography, cystoscopy, and transvaginal ultrasonography are diagnostic. A computed tomography can also be employed in selected cases to delineate anatomic relations. Urologists should consider a vesical foreign body such as migrated IUD in women with recurrent lower urinary infections. Gross hematuria in a young woman should alert the urologist, and the evaluation should address a detailed contraceptive history. Every migrated IUD should be removed via endoscopy, laparoscopy, or open surgery. Proper follow-up and education of women before and after IUD insertion is also recommended to pick up on complications in time. Here, we report the successful open surgical treatment of a woman who had a forgotten IUD for 15 years and ultimately presented with gross hematuria due to trans-vesical migration. As to our literature search, there was no similar case reported from a urology center from Ethiopia.