{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:53:09Z","timestamp":1791301989572,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Complete perforation of the bladder caused by an intrauterine device (IUD) is rare. This study examined the characteristics of patients associated with IUD\u2010related bladder perforation and evaluated the relationship between mislocated IUDs and their potential complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From October 2005 to December 2021, 13 reports regarding complete perforations to the bladder by IUDs were retrieved from the National Contraceptives Adverse Reaction Monitoring System of China. The clinical features of these cases were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median patient age was 30 (range, 27\u201346) years. There were four cases (4\/13, 30.8%) with IUDs placed during lactation, one case (1\/13, 7.7%) with an IUD placed after medical abortion, and eight cases (8\/13, 61.5%) placed after menstruation. Seven cases (7\/13, 53.9%) were first\u2010time IUD users. The median duration of IUD placement was 47 (range, 1\u2013145) months. Unexpected pregnancy was reported in five cases (5\/13, 38.5%). Six cases (6\/13, 46.2%) reported bladder stones with varying degrees of abdominal pain or urinary tract infection. Removal methods included laparotomy (four cases), cystoscopy (four cases), laparoscopy (two cases), laparoscopy combined with cystoscopy (two cases), and laparotomy after cystoscopy (one case). All IUDs were successfully removed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Complete perforation to the bladder by IUDs is a rare adverse event. Regular follow\u2010up is required after the placement of IUDs. The possibility of uterine perforation should be investigated if IUD users encounter persistent lower abdominal pain or urinary tract infection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15661","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T05:14:38Z","timestamp":1682486078000},"page":"1821-1826","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Complete perforated bladder from intrauterine devices: A case series report from a nationwide monitoring system"],"prefix":"10.1111","volume":"49","author":[{"given":"Min","family":"Zhang","sequence":"first","affiliation":[{"name":"Contraceptives Adverse Reaction Surveillance Center of National Health Commission  Nanjing China"},{"name":"Jiangsu Health Development Research Center  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8697-9747","authenticated-orcid":false,"given":"Zhiming","family":"Sun","sequence":"additional","affiliation":[{"name":"Contraceptives Adverse Reaction Surveillance Center of National Health Commission  Nanjing China"},{"name":"Jiangsu Health Development Research Center  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuehua","family":"Yang","sequence":"additional","affiliation":[{"name":"Contraceptives Adverse Reaction Surveillance Center of National Health Commission  Nanjing China"},{"name":"Jiangsu Health Development Research Center  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Zhou","sequence":"additional","affiliation":[{"name":"Contraceptives Adverse Reaction Surveillance Center of National Health Commission  Nanjing China"},{"name":"Jiangsu Health Development Research Center  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Ba","sequence":"additional","affiliation":[{"name":"Contraceptives Adverse Reaction Surveillance Center of National Health Commission  Nanjing China"},{"name":"Jiangsu Health Development Research Center  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-198107000-00001"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.01.007"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1515\/med-2020-0173"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S63167"},{"issue":"1","key":"e_1_2_10_6_1","first-page":"54","article-title":"Bladder calculus resulting from the migration of an intrauterine contraceptive device: a report of ten cases","volume":"3","author":"Sataa S","year":"2011","journal-title":"Nephro\u2010Urology Monthly"},{"issue":"10","key":"e_1_2_10_7_1","first-page":"696","article-title":"The migrating intrauterine device. Case report and review of the literature","volume":"27","author":"Kassab B","year":"1999","journal-title":"Contracept Fertil Sex"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.02.009"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-006-0157-z"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmas.JMAS_268_19"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0882-2"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-018-1159-8"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.19105"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/2249-4863.148147"},{"key":"e_1_2_10_15_1","first-page":"753","volume-title":"Tech Rep World Health Organization (WHO)","author":"WHO","year":"1987"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10397-017-1032-2"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(02)00417-1"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2016-101684"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2017.1412427"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182316308"},{"issue":"11","key":"e_1_2_10_21_1","first-page":"67","article-title":"The study of the relationship between ectopic IUD and operation situation","volume":"8","author":"Wang G","year":"2016","journal-title":"Chinese J Family Planning Gynecotokol"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/OAJC.S85546"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605211015032"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2021.101841"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2022.42.143.35362"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15661","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T13:22:17Z","timestamp":1692278537000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.15661"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,25]]},"references-count":24,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/jog.15661"],"URL":"https:\/\/doi.org\/10.1111\/jog.15661","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,25]]},"assertion":[{"value":"2023-01-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}