A 45-year-old lady presented with symptoms of dysuria, urinary frequency and lower abdominal pain for the last six months. She was diagnosed as having urinary tract infection and was prescribed antibiotics many times before with little improvement. She had no associated fever, vaginal discharge, irregular vaginal bleeding or haematuria.
On abdominal examination, there was tenderness in the lower abdominal with no palpable abdominal mass. Vaginal examination was normal and revealed no discharge. Urine routine microscopy revealed pus cells and culture growed E coli. Abdominal ultrasound revealed stone in the urinary bladder. X ray KUB showed a straight foreign body in the bladder with stone formation. Patient gave history of medical termination of pregnancy (MTP) 20 years back and she denied the insertion of intrauterine contraceptive device.
Cystoscopy was done and it revealed the foreign body to be copper T with stone around it. Ballistic lithotripsy of the bladder stone with cystoscopic extraction of the IUD was then performed. Patient had an uneventful recovery. Foleys catheter was removed on day three and patient was discharged.
