{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T05:07:09Z","timestamp":1739596029507,"version":"3.37.1"},"reference-count":7,"publisher":"Galenos Yayinevi","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Background: The NuvaRing\u00ae, a hormonal vaginal contraceptive device, has gained widespread usage due to its favourable efficacy and safety profiles. Exceedingly rare instances of unintended misplacement in the bladder have been reported. This study presents a review of the literature and the first video report illustrating the extraction of an intravesical NuvaRing\u00ae, discussing diagnostic and therapeutic approaches.\n\nObjective: To illustrate an effective method for intravesical NuvaRing\u00ae retrieval and raise awareness about this unusual complication.\n\nMaterials and Methods: A 27-year-old patient with low urinary tract symptoms related to NuvaRing\u00ae misplacement underwent diagnostic procedures, including ultrasound and diagnostic cystoscopy. A cystoscopic extraction under general anaesthesia was performed.\n\nMain Outcome Measures: The effectiveness of pelvic ultrasound for diagnosing an intravesical foreign body, successful cystoscopic removal of NuvaRing\u00ae from the bladder, and symptom resolution were assessed.\n\nResults: The intravesical NuvaRing\u00ae was identified through pelvic ultrasound. During cystoscopy, the ring was detected inside the bladder. Multiple attempts with cystoscopic alligator graspers were made; the NuvaRing\u00ae was eventually extracted using transurethral Heiss forceps. The patient experienced minimal blood loss and was discharged the following day, reporting relief from symptoms.\n\nConclusions: Unintentional NuvaRing\u00ae placement in the bladder is an extremely rare event that healthcare providers should consider when patients present with urinary symptoms and pelvic pain. Pelvic ultrasound is an efficient diagnostic tool, possibly averting the need for further imaging techniques. Cystoscopy remains the preferred method for diagnosis and treatment. This video report illustrates an effective technique for NuvaRing \u00ae extraction, especially when appropriate graspers are unavailable. Adequate instruction on NuvaRing\u00ae insertion should always be emphasised.<\/jats:p>","DOI":"10.52054\/fvvo.16.2.016","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T21:09:08Z","timestamp":1719868148000},"page":"225-229","source":"Crossref","is-referenced-by-count":0,"title":["Intravesical misplacement of vaginal contraceptive ring: a video report and review of the literature"],"prefix":"10.52054","volume":"16","author":[{"given":"G","family":"Panico","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Campagna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Mastrovito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Arrigo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Caramazza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Scambia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Ercoli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2024,6]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Baker KS, Barish M. Inadvertent intravesicular placement of a vaginal contraceptive ring: a case report and review of literature. J Radiol Case Rep. 2014;8:22\u20138.","DOI":"10.3941\/jrcr.v8i12.2304"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Bhaduri M, Carr LK, Dunn S et al. The vaginal ring: expelled or misplaced? J Ultrasound Med 2009;28:259\u201361.","DOI":"10.7863\/jum.2009.28.2.259"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Ehdaie B, Mason MD, Peters CA et al. Transurethral placement of vaginal contraceptive device in a patient with neurogenic bladder: a case report and review of the literature. J Pediatr Urol. 2013;9:e107\u201310.","DOI":"10.1016\/j.jpurol.2012.11.008"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Roumen FJME, Mishell DR. The contraceptive vaginal ring, NuvaRing(\u00ae), a decade after its introduction. Eur J Contracept Reprod Health Care. 2012;17:415\u201327.","DOI":"10.3109\/13625187.2012.713535"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Tarrag\u00f3n Gabarr\u00f3 S, Checa Vizca\u00edno MA, Arango Toro O. Accidental introduction of a contraceptive vaginal ring into the urinary bladder. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:1511\u20133.","DOI":"10.1007\/s00192-009-0918-6"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Teal SB, Craven WM. Inadvertent vesicular placement of a vaginal contraceptive ring presenting as persistent cystitis. Obstet Gynecol. 2006;107:470\u20132.","DOI":"10.1097\/01.aog.0000164072.91339.9e"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Wieder DR, Pattimakiel L. Examining the efficacy, safety, and patient acceptability of the combined contraceptive vaginal ring (NuvaRing). Int J Womens Health. 2010;2:401-9.","DOI":"10.2147\/ijwh.s6162"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:56:10Z","timestamp":1739512570000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.16.2.016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,5]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.16.2.016","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"type":"electronic","value":"2684-4230"},{"type":"print","value":"2032-0418"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}