Vaginal Calculi in a Young Woman

A rare case of vaginolith, vesical calculus with vesicovaginal fistula in adolescent female

“…6 The association of vaginal stone with vesicovaginal fistula is not uncommon these stone are commonly associated with urinary symptoms like dysuria and urinary retention and vaginal outlet obstruction. 7 Here in our case poor girl has large urinary fistula since 2 yrs, due to true incontinence she developed a habit to hold urine inside the vagina which acts as a reservoir for urine stasis more over fragile infected tissue of the bladder and the vagina may have been a possible etiological factor for vesico-vaginal stone formation. It has been found in literature that Vaginal stone is always associated if vesicovaginal fistula is found at supratrigonal part of bladder similarly in our case VVF is located at urethrovesical junction involving the neck of bladder.…”

A Large Primary Vaginal Calculus in a Woman With Paraplegia

“…Vaginal stones should be included in the differential diagnosis of cases of calculi noted in the pelvis in plain radiographs [5]. A careful genitourinary examination should be performed because vaginal stones can be often confused with bladder calculi on plain radiological examination [2, 3,6,8,20,21]. Therefore, oblique or lateral views should be taken whenever there is doubt [3].…”

“…A careful genitourinary examination should be performed because vaginal stones can be often confused with bladder calculi on plain radiological examination [2, 3,6,8,20,21]. Therefore, oblique or lateral views should be taken whenever there is doubt [3]. Imaging studies including ultrasound, CT, intravenous pyelography, cystourethrography, and magnetic resonance urography may be useful in diagnosing this rare condition.…”

“…The treatment of vaginal calculi consists of removing the calculus either with simple extraction using some surgical tools [6,7,16] or surgical approach via transabdominal and bladder incisions [5], or through the transperitoneal approach that opened the vagina and extracted the calculus from an incision into the anterior vaginal wall [3,23]. This approach enabled the integrity of the genital organs to be assessed [3,5] and maintained the hymen [5].…”

“…This approach enabled the integrity of the genital organs to be assessed [3,5] and maintained the hymen [5]. Some authors have removed the calculus from the vagina through hymenal incision [2] or through an episiotomy incision [6,11].…”