Actinomycosis is a rare opportunistic infection caused by anaerobic bacterium Actinomyces israelii. It usually causes a chronic suppurative infection. Actinomycosis occasionally associated with the use of intrauterine contraceptive devices (IUD). Herein, We report a case of 43-year-old woman, who presented urinary frequency, dysuria, abdominal discomfort and had IUD indwelling for 4 years. With the presumptive diagnosis of bladder tumor, transurethral resection of bladder was performed. Pathological examination revealed a vesical actinomycosis.