A case of transvaginal lithotripsy for a giant vaginal calculus

Abstract

Primary vaginal calculi are relatively rare, compared with secondary calculi. Primary calculi are often a result of urogenital sinus abnormalities, neurogenic bladder, or chronic incontinence. Case presentation: Forty-seven years old female with cerebral palsy since infancy had longstanding urinary incontinence. She visited her doctor for a fever and was referred to us with a urinary tract infection. Imaging revealed a large vaginal calculus. It was not possible to remove the calculus vaginally without crushing it, so we performed rigid cystoscopy with lithotripsy, using a pneumatic lithotripsy device. The calculus was completely removed without complications. Conclusion:We were able to remove a large primary vaginal calculus using ultrasonic and pneumatic lithotripsy through a rigid cystoscope. Minimally invasive surgery is a good option for patients with large vaginal calculi.

A new method for trans-vaginal extraction of an impacted vaginal calculus: A case report

“…Primary vaginal stone formation is an extremely rare phenomenon with only 11 cases reported in the literature [ 2 ]. Here we present the case of the largest reported stone, which was extracted using a minimally invasive, novel surgical technique.…”

“…In four lithotripsy was attempted, and in one was abandoned after 6 h and 45 minutes [ 8 ]. None of the other cases reporting lithotripsy documented the operating time [ 2 , 9 , [11] , [12] , [13] ] suggesting they may have been time intensive. Our mechanical approach allows for a more time efficient method which balances out anaesthetic risk and risk of prolonged surgery.…”