Large Vaginal and Bladder Calculi in a Woman With Previous Operation of Bladder Exstrophy: A Case Report

Abstract

This is to report the case of a huge vaginal stone, and bladder calculi in a 26-year-old woman with previous operation of bladder exstrophy. It seems that the vaginal stone was secondary to the remaining wire used in her previous reconstructive surgery for pelvic closure 20 years ago and now surgery is performed to remove the vaginal and bladder stones.

A rare reason in a child with feeding intolerance: Intravaginal struvite stone

“…Nonspecific findings such as suprapubic pain, fever and vomiting followed in some cases. 4,7 The basic symptom in our case was resistant feeding intolerance. In the suspected cases, abdominal radiography must be the first workup to be carried out.…”

“…3 Stones in the vagina are categorized as primary and secondary depending on whether there is a foreign object focus (nidus) or not. 4 Primary vaginal stones are formed as a result of urinary salt accumulation in patients with urethrovaginal fistula, stenosis in vaginal outflow, posttraumatic or postoperative scarring, ectopic vaginal ureter or neurogenic bladder. 3 Bacterial reproduction associated with urinary stasis in vagina (urease producing bacteria such as Klebsiella sp., Proteus mirabilis, Escherichia coli) changes physiological acidic pH in the vagina into alkali and causes various substances to precipitate.…”

“…In cases with neurological sequela, neurogenic bladder and urinary incontinence, patients should be evaluated and bladder rehabilitation treatment should also be initiated. 4,8…”

Entrapped Urinary Calculi in Iatrogenically Created Vaginal Pocket During Robotic Repair of Vesicovaginal Fistula

“…The presence of vaginal calculi has been well established (1)(2)(3)(4). However, they remain very rare in occurrence in the medical literature.…”

Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence

“…The presence of a vaginal stone should be considered if a patient presents with vaginal pain/discomfort, dyspareunia, partner pain with intercourse, dysuria, palpation of mesh/foreign body, or vaginal bleeding or discharge [ 10 , 11 , 14 , 16 , 17 ]. If unable to diagnose a vaginal stone on exam, X-ray imaging should be considered [ 8 ].…”