Study on Outlander of the Bladder: The Hidden Copper IUD

Intrauterine contraceptive devices have been in use for many years. Although perforation of the uterus
by an IUD is not uncommon (9.6 per 1000 insertions), intravesical migration with secondary stone
formation is a rare condition [1,2]. We report a case of 46 year old late perimenopausal woman being
treated for urinary complaints for a duration of six months which on USG turned out to be Copper T
encrusted with secondary calculus formation managed successfully by cystoscopic retrieval. A regular
follow up of IUD for visible thread would help in earlier detection of misplaced IUD and prevent the
complications such as intravesical migration. Proper training of paramedical staff is mandatory in
developing countries to provide safe and better family planning services. History of IUD insertion
should always be elicited with bladder calculi as their origin in denovo is a rarity in females.