Cystoscopic Management of the Intravesical Migration of an Intrauterine Device Complicated by Bladder Stone Formation: A Video Case Report.

Intrauterine device (IUD) migration is a rare complication of IUD placement. The current case is of a 32-year-old lady who presented with pregnancy following IUD failure. Subsequent imaging revealed intravesical migration of the IUD. A cystoscopic evaluation revealed a bladder stone (encrusted IUD), with no breach in the bladder mucosa and no evidence of a fistulous opening. The encrustation was broken down, and an intact IUD was retrieved. This video report shows the management of a migrated IUD complicated by a bladder stone using cystoscopy that not only allowed for a combined diagnostic and therapeutic approach to the extraction of the IUD but also provided information regarding the involvement of the bladder wall and confirmed no extravesical protrusion of the device.