TY - JOUR AU - Farouk, Khalid AU - Afridi, Zia uddin AU - Farooq, Muhammad Ashraf AU - Qureshi, Ishtiaq Ahmad PY - 2011/08/10 Y2 - 2024/03/29 TI - UROLOGICAL COMPLICATIONS OF INTRAUTERINE CONTRACEPTIVE DEVICE JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 21 IS - 4 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/174 SP - AB - <span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><p>Objective: To elucidate the urological complications of Intrauterine contraceptive device (IUCD).</p><p>This study was conducted in Fauji Foundation Hospital Rawalpindi to elucidate</p><p>Material and Methods: the urological complications of IUCD presenting to Urology department from January 2002 to December 2006. During this period 12 ladies having IUCDs presented with lower urinary tract symptoms (LUTS).</p><p>After thorough work up, 6 patients were managed surgically and the remaining 6 were managed</p><p>conservatively.</p><p>Results: In all cases the IUCDs were inserted by paramedics. Out of six cases managed surgically, 3</p><p>patients had developed complete intravesical migration of device with stone formation. While in two other</p><p>patients there was partial migration of the IUCD and stone formation over the migrated component of the</p><p>device. One patient had simultaneously two IUCDs, one in uterus and another in bladder. We successfully</p><p>performed cystolitholapaxy and retrieved four IUCDs in these patients endoscopically. A large vesical</p><p>stone and the entombed IUCD in one of our patients was also removed endoscopically. The patient who</p><p>presented with two IUCDs also got the vesical IUCD removed endoscopically. In remaining six cases, the</p><p>IUCDs were in proper location and the cause of LUTS in these patients was urinary tract infection. These</p><p>patients were successfully managed conservatively.</p><p>Conclusion: Insertion of IUCD necessitates regular follow-up to confirm its correct position. Migration</p><p>of an IUCD warrants prompt removal, even in asymptomatic patients. Cases presenting with UTI with</p><p>undisplaced IUCD should be managed with appropriate antimicrobial therapy.</p></span></span></span> ER -