Suppr超能文献

宫内节育器膀胱内移位导致膀胱结石形成:2例报告

Bladder Stone Formation due to Intravesical Migration of the Intrauterine Device: A Report of 2 Cases.

作者信息

Şam Emre, Atar Muhittin, Alemdar Enes, Turan Abdullah, Karabulut İbrahim

机构信息

Department of Urology, University of Health Sciences, Erzurum City Hospital, Erzurum, Turkey.

出版信息

Urol Int. 2024;108(3):272-275. doi: 10.1159/000537931. Epub 2024 Feb 20.

Abstract

INTRODUCTION

Approximately 5% of bladder stones occur in women and are usually associated with foreign bodies or urinary stasis. Spontaneous migration of the intrauterine device (IUD) into the bladder is a rare complication. In this report, we present 2 cases of migrated IUD who had undergone surgery at our clinic due to bladder stones.

CASE PRESENTATIONS

We detected migrated IUDs into the bladder in 2 female patients, aged 37 and 56 years, who presented with lower urinary tract symptoms and urinary tract infection. In the first case, endoscopic cystolithotripsy was performed, and the IUD was removed without complications. In the second case, the IUD could not be removed endoscopically since it had fractionally invaded the bladder wall, and the IUD was removed without complications by performing an open cystolithotomy.

CONCLUSION

A comprehensive gynecological history should be taken from every female patient presenting with recurrent urinary tract infections and lower urinary tract symptoms. If these patients have a history of IUD placement, the possibility of the intravesical migration of this device should be kept in mind.

摘要

引言

约5%的膀胱结石发生于女性,通常与异物或尿潴留有关。宫内节育器(IUD)自发迁移至膀胱是一种罕见的并发症。在本报告中,我们呈现了2例因膀胱结石在我院接受手术的IUD迁移病例。

病例报告

我们在2例分别为37岁和56岁的女性患者中检测到IUD迁移至膀胱,她们均表现为下尿路症状和尿路感染。第一例患者接受了内镜下膀胱碎石术,IUD被顺利取出,无并发症发生。第二例患者因IUD部分侵入膀胱壁,无法通过内镜取出,遂行开放性膀胱切开取石术,IUD被顺利取出,无并发症发生。

结论

对于每一位出现复发性尿路感染和下尿路症状的女性患者,都应详细询问其妇科病史。如果这些患者有IUD放置史,则应考虑该装置膀胱内迁移的可能性。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验