Background: An
intrauterine device is commonly used for
contraception globally. Although
intrauterine device placement is an effective and safe method of
contraception, migration into the bladder with stone formation is a rare and serious complication. The management approaches for an
intrauterine device embedded in the bladder include endoscopic procedures and open surgical removal. In this study, we report the case of a patient with recurrent
urinary tract infection associated with
intrauterine device migration and
urolithiasis, who successfully underwent endoscopic treatment combined with
laser fragmentation. Case Presentation: A 22-year-old woman presented to our hospital with a 1-month history of lower
abdominal pain,
hematuria, and
pain on urination. Transvaginal ultrasound showed a hyperechoic lesion in the bladder. A plain abdominal radiograph showed the presence of a T-shaped
intrauterine device with
calculus formation in the pelvis. CT revealed a vesical stone fixed to the top of the bladder wall, and there was no
vesicovaginal fistula formation. She had undergone
intrauterine device insertion several years previously. Cystoscopy confirmed the diagnosis. She underwent endoscopic
lithotripsy, and the
intrauterine device was extracted from the bladder wall. Repair of the bladder wall and disappearance of symptoms were confirmed. Conclusion: Endoscopic treatment combined with
laser fragmentation of stones surrounding a migrated
intrauterine device should be considered as a minimally invasive approach, which can be performed safely.