Medical Must-See: Menstrual cup, up and away

Menstrual cups have become an increasingly popular, environmentally friendly and cost-effective option, but there has been many a slip ‘twixt a cup and a urinary tract.
A woman in her 30s presented to Aarhus University Hospital in Denmark with macroscopic haematuria and a six month history of intermittent lower abdominal and right flank pain.
She was afebrile with a normal serum creatinine and flexible cystoscopy.
CT urography revealed ureterohydronephrosis, an appropriately located copper IUD and a 42mm-wide silicone menstrual cup, tilted at a jaunty angle, near the right ureteral ostium.