Dr. Guljabin Sultana is a skilled Obstetrician and Gynecologist with a robust academic foundation, holding an M.B.B.S. (2019) and M.S. in Obstetrics & Gynecology (2023) from Jawaharlal Nehru Medical College & Hospital, AMU, Aligarh, and earning her MRCOG (UK) in 2025. Her areas of interest include infertility and cervical cancer, with notable research on cervical lesion analysis using colposcopy. She has actively contributed to academic conferences, presenting papers and posters on diverse topics, including perineal tears, cervical lesions, and rare obstetric cases. Dr. Sultana’s achievements include multiple awards in quiz competitions related to obstetrics and gynecology, showcasing her clinical acumen. A member of the Royal College of Obstetricians and Gynaecologists (RCOG) and Aligarh Obstetrics and Gynaecological Society (AOGS), she is dedicated to advancing women's health through research, clinical practice, and education.
Infertility, Cervical Cancer
Forgotten Intrauterine Device (Copper T) Forming Vesical Calculus
Background: An intrauterine device (IUD) is a well-accepted means of reversible contraception. Complete migration of IUD to the bladder through partial or complete perforation though rarely reported, results in lower urinary tract symptoms and stone formation around the migrated IUD. This phenomenon could be strongly associated with history of prior caesarean sections (C-section) or early insertion of the device in the postpartum period.
Case presentation: A 50-year-old female presented with a history of lower urinary symptoms and haematuria. X ray KUB showed a straight foreign body in the bladder with stone formation. According to ultrasound, the copper IUD was partly in the bladder lumen and within the bladder wall. Cystoscopy showed a bladder stone formation around the IUD anchored to the anterior bladder wall. Patient gave history of medical termination of pregnancy (MTP) 20 years back and she denied the insertion of intrauterine contraceptive device. She had cystolithotomy and retrieval of oblong shaped stone measuring about 4cm and intact IUD (Copper T) after failed endoscopic procedure.
Conclusions: Vesical calculi are uncommon in adult women and their presence should raise the suspicion of the presence of a foreign body. This case highlights the importance of properly informing the patient regarding IUD at the time its insertion. This will reduce the incidence of missing IUD.
Keywords: Intrauterine device, Migration, Bladder, Cystoscopy.