Sani, Muhammad Mahbubi
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Migration of an Intrauterine Device (IUD) into the Bladder: A Case Report Sani, Muhammad Mahbubi; Fadilla, Aulia Nur; Witanto, Annisa Nadhifa; Sakinah, Aulia; Virdayanti, Dian Puspita; Surahmad, Fakhri
Brawijaya Journal of Urology Vol. 5 No. 02 (2025): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2025.005.02.5

Abstract

Introduction. Intrauterine device migration, a rare complication, refers to the movement of the intrauterine device to unintended locations, including the bladder. The following paper presents a case study illustrating intrauterine device migration into the bladder. Case. A 45-year-old woman, who has been using an intrauterine device for 15 months, was referred from the public health centre  because the intrauterine device thread was not found. She has been experiencing pain after urination for a week that hasn’t improved with medication. During a gynecological examination, no thread was found. An abdominal ultrasound examination revealed the intrauterine device was located in the bladder. Conclusion. The migration of an intrauterine device into the bladder is a rare complication that requires careful monitoring. Intrauterine device users with persistent urinary tract infection symptoms that do not improve should consider this possibility. Proper insertion procedures and regular placement assessments are essential.
A Case Report with Rare Complication: Bladder Explosion During Transurethral Resection of Prostate (TURP) Sani, Muhammad Mahbubi; Surahmad, Fakhri; Santoso, Sonny Agus; Setiawan, Bekti
Brawijaya Journal of Urology Vol. 6 No. 03 (2026): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2026.006.03.4

Abstract

Introduction. Transurethral Resection of the Prostate (TURP) remains the gold standard procedure for treating Benign Prostatic Hyperplasia (BPH). Although this procedure has proven to be effective, it carries the risk of complications, including rare complications such as bladder explosion. Bladder explosion can occur due to the accumulation of flammable gases, especially hydrogen during electrocauterization. Case. A 71-year-old man with a medical history of recurrent urinary retention underwent monopolar TURP. During the procedure, a burst sound was heard followed by a 7 cm bladder perforation on the anterior wall. Urgent bladder repair was performed with exploration and placement of cystotomy and retroperitoneal drain. The patient underwent postoperative recovery and the follow-up showed good results. Conclusion. Bladder explosion is a rare but serious complication of monopolar TURP that requires immediate surgical intervention. Increased awareness and implementation of preventive strategies can minimize the risk of this complication and reduce patient morbidity.