We report a postmenopausal woman with intravesical migration of intrauterine device (IUD) with copper that caused secondary calculus formation. The patient presented with irritative voiding symptoms, hematuria and recurrent urinary tract infections. The diagnosis was made using ultrasonography. We performed histeroscopy to search the cause of postmenapausal bleeding. A piece of IUD was found within the isthmus of uterine cavity and full curretage was performed. We did cystoscopy. The IUD with a calculus formation on one of its horizontal arms was seen. We preferred cystotomy because of the big size of the calculus. We carefully observed the IUD again and we noticed that the IUD had no defect. So we concluded that a piece of IUD that was inserted 25 years ago provided contraception in this case. Copyright © 2009 by Türkiye Klinikleri.

Calculi Contraceptive devices

cystoscopy stone formation postmenopause bleeding uterus cavity cystotomy hysteroscopy curettage endometrium atrophy urinary tract infection micturition disorder human recurrent infection burning sensation antibiotic agent Postmenopause vagina bleeding Treatment Failure urine culture Device Removal copper intrauterine device case report female ultrasound hematuria Article transvaginal echography adult edema antibiotic therapy histopathology Urinalysis intrauterine contraceptive device