title: Transurethral use of a nephroscope significantly AIDS in the surgical management of an intrauterine device eroding into the bladder.
abstract: BACKGROUND
  Intravesical migration of an intrauterine device (IUD) is a rare occurrence. The IUD becomes the nidus for calcification. Three approaches to remove the device include the use of open cystolithotomy, transurethral grasping forceps, or minimally invasive laparoscopy.
  
  
  METHODS
  A 50-year-old woman presented with vague abdominal pain and recurrent urinary tract infections. She was found to have an intravesical migration or malplacement of an IUD which was unretrievable 20 years ago and was encrusted with a calculus formation. We removed the foreign body through a transurethral approach aided by the use of a nephroscope which allowed for easy access of laparoscopic scissors and grasping forceps.
  
  
  CONCLUSIONS
  The transurethral approach with the use of a nephroscope significantly aids in the removal of an IUD embedded into the bladder wall.
authors.affiliation: From the *Baylor College of Medicine; and †Department of Urology, Houston Methodist Hospital, Houston, TX.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Scovell
authors.forename: Robert C
authors.initials: RC
authors.lastname: Chan
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Smith
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D020878:Device Removal / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D001743:Urinary Bladder / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000175:diagnosis