Urologie pro praxi 4/2025
Cystolithiasis formation caused by a forgotten intrauterine contraceptive device
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.
