Minimally invasive transurethral holmium laser surgery for the management of an IUD with bladder migration

Abstract

Case

Intrauterine device (IUD) is used worldwide as an effective contraceptive method, but the migration of IUD is a serious complication. We report the case of IUD migration leading to bladder calculus formation and a minimally invasive transurethral surgical approach was performed for treatment. Holmium laser was used to break up the bladder calculus and cut through the bladder mucosa where the IUD was attached, finally the IUD was removed through the urethra. This minimally invasive procedure is a safe and effective treatment for IUD migration, and similar cases have not been reported in the literature.

Conclusion

That the secondary bladder calculus were smashed by intense pulse mode of holmium laser, and the bladder tissue around the attached IUD was opened by cutting mode of holmium laser, and finally the IUD was completely removed from urethra, this surgical method is safe and effective, and there is no case report on IUD removal of transurethral cystoscope in the literature.

摘要

个案

宫内节育器(IUD)作为一种有效的避孕方法在世界范围内广泛应用, 但宫内节育器的移位是一种严重的并发症。我们报告一例宫内节育器移位导致膀胱结石形成和微创经尿道手术方法进行治疗。钬激光粉碎膀胱结石, 切开附着宫内节育器的膀胱黏膜, 最后经尿道取出宫内节育器。这种微创手术是一种安全有效的治疗宫内节育器移位的方法, 既往没有文献报道类似病例。

结论

采用钬激光超脉冲模式击碎继发膀胱结石, 钬激光切割模式切开粘连的节育器周围的膀胱组织, 最终将节育器完全从尿道取出, 该手术方法安全有效, 既往文献未见经尿道膀胱镜取出节育器的报道。

Keywords:

• Intrauterine device
• intrauterine device migration
• holmium laser lithotripsy
• bladder calculus
• cystoscope

Ethical approval

This study protocol was reviewed and approved by [Hefei Second People’s Hospital Clinical Trial Ethics Committee], approval number [2023-Scientific Research-077]. Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

Author contributions

The corresponding author (Yanbin Zhang) has developed the study idea, has designed the work, has participated in data acquisition, and has written the article. Can Wei, Dawei Ni, and Kun Liu have contributed to the data acquisition, the design of the work, and the final revision. Mingming Lu has contributed the data acquisition and the final revision. All authors have approved the final submitted manuscript and have agreed both to be personally accountable for the author’s own contributions and to ensure that questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data availability statement

All data generated or analysed during this study are included in this article. Further enquiries can be directed to the corresponding author.