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International Urogynecology Journal
Published in: International Urogynecology Journal 12/2009

01-12-2009 | Case Report

Accidental introduction of a contraceptive vaginal ring into the urinary bladder

Authors: Sandra Tarragón Gabarró, Miguel A. Checa Vizcaíno, Octavio Arango Toro

Published in: International Urogynecology Journal | Issue 12/2009

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Abstract

Introduction and hypothesis

A case of inadvertent self-introduction into the urethra of a folded contraceptive vaginal ring (NuvaRing®) in a 22-year-old woman is reported.

Methods

The patient presented with lower urinary tract symptoms, including dysuria, urgency, and terminal hematuria, that appeared a few minutes after insertion of the device.

Results

The diagnosis was made by abdominal echography. The abdominal pelvic computed tomography scan confirmed the intravesical presence of the unfolded ring.

Conclusions

Vaginal contraceptive rings should be added to the list of potential intravesical foreign bodies causing lower urinary tract symptoms.
Literature
1.
Van Ophoven A, deKernion JB (2000) Clinical management of foreign bodies of the genitourinary tract. J Urol 164:274–287CrossRefPubMed
2.
Sarkar NN (2005) The combined contraceptive vaginal device (NuvaRing): a comprehensive review. Eur J Contracept Reprod Health Care 10:73–78CrossRefPubMed
3.
Mayersak JS, Viviano CJ (1993) Severe chemical cystitis from the transurethral intravesical insertion of a vaginal contraceptive suppository: a report of 3 cases and proposed method of management. J Urol 149:835–837PubMed
4.
Ahmed S, Ahmed R, Yaser O, Mahmoud A (2008) Urinary complications of migrated intrauterine contraceptive device. Int Unogynecol J 19:241–245CrossRef
5.
Pascual Regueiro D, García de Jalón Martínez A, Mallén Mateo E, Sancho Serrano C, Gonzalvo Ibarre A, Rioja Sanz LA (2003) Bladder foreign bodies. Bibliographic review. Actas Urol Esp 27:265–273 (article in Spanish)PubMed
Metadata
Title
Accidental introduction of a contraceptive vaginal ring into the urinary bladder
Authors
Sandra Tarragón Gabarró
Miguel A. Checa Vizcaíno
Octavio Arango Toro
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 12/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0918-6

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