A 47-year-old woman who complained to her doctor about blood in her urine was found to have had an abnormal diagnosis. A copper intrauterine device (IUD) I received 10 years ago had punctured the bladder and bladder stones. According to a new report, it was formed on it.
Doctors believe that the IUD was gradually “eroded” from the uterus to the bladder, according to a report published in the January issue of the journal. This is a rare complication of the device. Case reports on women’s health..
“For physicians, this case shows that the IUD can erode the bladder and should be considered the cause of urinary symptoms,” said Nicholas Foretwalker, a urinary surgeon at King’s College Hospital in London. The doctor says. He led the treatment team and told Live Science. “For the general public, the main message is that IUDs are safe in most cases, but unfortunately some can cause serious complications.”
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The IUD is an effective form of contraception that is inserted into the uterus and lasts up to 12 years. According to the planned parent-child relationship.. They fall into two types: hormone-releasing IUDs and copper IUDs. The copper IUD is wrapped in copper wire that releases ions that block sperm swimming and make the uterus generally unacceptable. When a doctor inserts an IUD (usually a T-shape), the risk of puncturing the uterus is about one-thousandth, the authors write in a report.
However, according to Walker, bladder perforation is rare. “Only a few of these perforations are associated with the bladder,” he said. Unusually, it has been previously reported in the medical literature.
For example, the same thing happened to Chinese women in 2017. Live Science previously reported.. She had an IUD but was still pregnant. And when she gave birth, a Caesarean section did not find an IUD anywhere in her womb. It was after years of bladder problems that doctors discovered the device missing in her bladder.
The subject of this new case report was the placement of a copper-added IUD 10 years before her abortion. Prior to that, a Caesarean section gave birth to two children.
She went to the doctor with symptoms of blood in the urine, pain during urination, pain during gender, and pain in the left abdomen. According to Walker, these symptoms lasted about two months. At King’s College Hospital, where she was referred, ultrasound and CT scans revealed that the IUD had punctured the bladder. There, a 0.43 inch (1.1 cm) bladder stone, about the size of a pea, was formed on the right arm of the device.
According to this treatise, there are two theories about how the IUD punctures the uterus. A hole is made in the uterine wall during insertion, or the uterine tissue is gradually worn by a process called erosion. “We believe the IUD was gradually eroded through her. [C-section] scar. It was probably a very step-by-step process because the IUD was inserted 10 years ago, “Walker told Live Science. Women’s urethral symptoms were probably caused by bladder stones, Walker said.
Dr. Elizabeth Kavaler, an obstetrician and gynecologist at Lenox Hill Hospital in New York City, said terms like “intrauterine device” sometimes refer to IUDs that go out of the womb, but they don’t work on their own. .. When the doctor inserts the uterus, the IUD may puncture the uterus. From there, “some of the IUD can pierce the bladder directly and stones can form around it, as either pressure, inflammation, or infection can cause destruction of the tissue around the IUD. “There is,” Kavaler told Live Science. .. “But the IUD isn’t active. It’s inactive. It just sits there and destroys the tissue around it,” she added.
Based on this case report, patients should not be concerned that their IUD is eroding the bladder, Kavaler added. “This is a rare situation that doctors should be aware of,” she said.
For women, doctors used a laser to grind bladder stones and pull the IUD out of the vagina. By the time of her one-month follow-up visit, her symptoms had disappeared, the report said.
Originally published in Live Science.
The female IUD was “eroded” from the uterus and punctured the bladder.
Source link The female IUD was “eroded” from the uterus and punctured the bladder.
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