Urol. praxi. 2025;26(4):231-234 | DOI: 10.36290/uro.2025.093
Cystolithiasis formation caused by a forgotten intrauterine contraceptive device
- Urologie, Nemocnice AGEL Třinec-Podlesí
Cystolithiasis in women is a rare diagnosis. Its etiology is associated with the presence of foreign material (mostly stitches) in the bladder - most often iatrogenic in connection with gynecological interventions or urinary outflow insufficiency due to a neurogenic disorder, but also with changes in the architecture of pelvic floor - a higher grade cystocele (1, 2). This case report aims to highlight the not often discussed issue of neglected and migrating intrauterine devices (IUD) from the urologist's point of view. It also reflects the proper multidisciplinary management of a critical condition of a geriatric patient with obstructive pyonephrosis of a functionally fitter kidney, sepsis-induced multiple organ dysfunction syndrome (MODS) caused by a contracted bladder completely filled with infectious cystolithiasis of gynaecological origin - an infectiously encrusted IUD left for several decades.
Keywords: cystolithiasis in woman, urological complications associated with IUD, management of septic condition.
Accepted: November 24, 2025; Published: December 16, 2025 Show citation
References
- Liu G, Li F, Ao M, et al. Intrauterine devices migrated into the bladder: two case reports and literature review. BMC Women's Health [Internet]. 2021;21:301. [cited 2025 Mar 19]. Available from: https://doi.org/10.1186/s12905-021-01443-w.
Go to original source... 
Go to PubMed... - Hameed F, Anwaar A, Anwar M, et al. Vesical stone formation caused by a forgotten and migrated intrauterine contraceptive device: a case report with literature review. Bulletin of the National Research Centre [Internet]. 2024;48:36. [cited 2025 Mar 19]. Available from: https://doi.org/10.1186/s42269-024-01193-3. Go to original source...
- Elhagagy M, Mahdy A. Intrauterine Device induced Vesicouterine Fistula and Urinary Bladder Stone. A Rare Complication. The Pharmaceutical and Chemical Journal [Internet]. 2016;3(1):30-33. [cited 2025 Mar 25]. Available from: https://www.researchgate.net/publication/301567018.
- Sehnal B, Beneš J, Záhumenský J, et al. Aktinomykóza - zastřešující přehled a 3 případy těžké pánevní aktinomykózy léčené konzervativně. Epidemiologie, mikrobiologie, imunologie [Internet]. 2019;68(2):90-98. [cited 2025 Mar 25]. Available from: https://pubmed.ncbi.nlm.nih.gov/31398982/.