Madden Aideen, Aslam Asadullah, Nusrat Nadeem B
Galway University Hospital, Department of Urology, Newcastle Road, Galway, Ireland.
Urol Case Rep. 2016 Apr 23;7:17-9. doi: 10.1016/j.eucr.2016.03.014. eCollection 2016 Jul.
Intrauterine devices (IUDs) are reliable method for contraception. Although, they are generally regarded as safe, serious consequences may occur in case of uterine perforation or intravesical migration. We present a rare case of a 74 year old lady with a forgotten IUD for 42 years resulting in intravesical migration, formation of vesicovaginal fistula (VVF) without uterine perforation, complete urinary incontinence, recurrent urinary tract infections (UTIs) and a large vesicovaginal calculus.