J Reconstr Urol 2017;7(2):62-4 62 n intrauterine device (IUD) is a reversible, cost-effective contra- ception method with low complication rates. 1 The incidence of uterus perforation of an IUD is 1-3 per 1000 insertions. 2 However, transvesical migration of an IUD is very rare. We present the diagnosis and treatment of a patient who had an IUD inserted 12 years earlier and pre- sented with urinary symptoms after bladder migration of the IUD and stone formation. CASE REPORT A 34-year-old woman presented with a history of recurrent urinary tract in- fections, suprapubic and pelvic pain, dysuria, and gross hematuria. She had recurrent symptoms year-round. Urinalysis revealed inflammation. The complete blood count and blood biochemistry profile were within normal levels. A plain abdominal radiograph revealed a stone and metallic foreign A Migrated Intrauterin Device Misdiagnosed as Bladder Stone: Case Report ABSTRACT The intrauterine device (IUD) is an effective, reversible and cost-effective contracep- tion method with low complication rates. IUD dislocation and bladder wall perforation of an IUD are rare. Secondary stone formation may occur around an IUD after migration to the bladder. Pa- tients usually apply with complaint of recurrent urinary tract infections and symptoms such as suprapubic and pelvic pain, dysuria, and gross hematuria. Such cases may require an endoscopic approach or open/laparoscopic surgery. We performed cystoscopic removal of an intravesical IUD encrusted with calculi 12 years after it was inserted. Keywords: Intrauterine devices; urinary bladder calculi; cystoscopy ÖZET Rahim içi araç (RİA) düşük komplikasyon oranlarıyla seyreden etkili, geri döndürülebilir ve uygun maliyetli bir kontrasepsiyon yöntemidir. RİA dislokasyonu ve RİA nın mesane duvarını per- forasyonu nadir görülmektedir. RİA nın mesaneye migrasyonu sonrası sekonder taş oluşumu gö- rülebilir. Hastalar genellikle rekürren üriner sistem enfeksiyonu ve suprapubik ve pelvik ağrı, dizüri ve gross hematüri gibi semptomlarla başvururlar. Bazı vakalarda ise endoskopik ya da açık/laparos- kopik cerrahi gerekebilir. Biz bu vakada mesane içinde taşla çevrelenmiş RİA yı yerleştirilmesin- den 12 yıl sonra sistoskopik olarak çıkardık. Anahtar Kelimeler: Rahim içi araçlar; mesane taşları; sistoskopi Hüseyin Buğra KARAKAŞ, a Engin Denizhan DEMİRKIRAN, b Bülent AKDUMAN b a Clinic of Urology, Bozuyuk State Hospital, Bilecik b Department of Urology, Bulent Ecevit University Faculty of Medicine, Zonguldak Geliş Tarihi/Received: 28.04.2017 Kabul Tarihi/Accepted: 31.07.2017 Yazışma Adresi/Correspondence: Engin Denizhan DEMİRKIRAN Bulent Ecevit University Faculty of Medicine, Department of Urology, Zonguldak, TURKEY/TÜRKİYE eddemirkiran@gmail.com Copyright © 2017 by Türkiye Klinikleri OLGU SUNUMU DOI: 10.5336/urology.2017-56333