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

Griffiths, Kara M.; Towers, Geoffrey D.; Yaklic, Jerome L.

doi:10.1155/2017/8710315

Cited by 8 publications

(11 citation statements)

References 13 publications

(21 reference statements)

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“…Prior case reports of secondary vaginal calculi, as in the current case, have shown stone formation on vaginal tape mesh [10], an intrauterine contraception device [11], and a pessary [12]. Few previous cases have reported stone formation on mesh [3,9], but exposure of mesh to urine serves as a nidus for stone formation. Synthetic mesh has been used surgically since 1950 and adapted for use in gynecological surgeries since 1970 [13].…”

Section: Discussionmentioning

confidence: 49%

“…Vaginal calculi are a rare gynecological finding [1,2]. Stones, which vary in size, usually present as singular and may have a range of presenting symptoms [1][2][3][4][5][6]. Calculi are classified as either primary or secondary.…”

Section: Introductionmentioning

confidence: 99%

“…Secondary stones occur due to deposition of urine salts related to foreign bodies. This represents the second most common cause of stone formation, following primary stones due to fistulae in the setting of urinary tract infections [3]. In secondary calculi, a foreign body can serve as the stone's nucleus around which urinary salt deposition precipitates [1].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Vaginal Calculus Formation on Exposed Midurethral Sling Mesh

Langer,

Saeed,

Barrett

et al. 2024

Case Reports in Obstetrics and Gynecology

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The presence of a vaginal calculus is a rare clinical entity which may develop in the setting of vaginal urinary stagnation. Numerous factors contribute to stone formation, and management can be complicated by variations in size, location of the stone, and location of adjacent structures. Generally, once diagnosed, vaginal calculi should be removed and surrounding anatomy should be evaluated thoroughly for secondary fistula, erosion, or presence of an instituting foreign body. This report presents a case of vaginal calculus formation on exposed midurethral sling mesh in an elderly patient with hemorrhagic cystitis. This report emphasizes contributing pathophysiology, diagnostic factors, and treatment.

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Section: Discussionmentioning

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Vaginal Calculus Formation on Exposed Midurethral Sling Mesh

Langer,

Saeed,

Barrett

et al. 2024

Case Reports in Obstetrics and Gynecology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Many of the case reports classified vaginal stones as primary or secondary according to the presence or absence of a nidus (6). Secondary vaginal stones are caused by repeated infections caused by foreign bodies such as an intrauterine device (5), surgical gauze (9), or mesh (10) that act as the nidus and promote mineral accumulation. In contrast, primary vaginal stones do not have a nidus.…”

Section: Discussionmentioning

confidence: 99%

Huge vaginal stone: Case report and review of the literature

Lee²,

Shin³

et al. 2022

Front. Surg.

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Primary vaginal stones have been rarely reported; the reports that do exist are usually case reports. Because of their low incidence, they are often misdiagnosed. This case report and literature review of a primary vaginal stone presents an assessment of symptoms and common risk factors for vaginal stone formation. A 28-year-old woman with spastic quadriplegia who had been bedridden for most of her life presented to the emergency department for abdominal distension and fever. She had chronic constipation, recurrent urinary tract infections (UTIs), and vaginal discharge. Abdominopelvic computed tomography (CT) was performed and a large stone observed. The vaginal stone was completely removed through the vaginal stump after hysterectomy. Differential diagnoses of vesicovaginal fistula, urethrovaginal fistula, genital anomaly, and ectopic ureter were made by performing several tests using indigo-carmine dye. She recovered from surgery without any complications. There was no recurrence of vaginal stones after 3 months. A biochemical analysis reported that the vaginal stone was 100% struvite. Vaginal stones are caused by repeated infections in an environment in which urine collects gradually. Patients with recurrent UTIs who are bedridden should be able to prevent vaginal stones with periodic gynecological examinations for early diagnosis and management.

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“…[2][3][4] The most recent in 2017 reported vaginal stone formation secondary to vaginal mesh exposure 7 years previously. 5 A mid-urethral sling is regarded as the 'gold standard' in treating urinary stress incontinence and is a very common procedure. Mesh exposure or even vaginal stones may be increasingly encountered.…”

Section: Discussionmentioning

confidence: 99%

Vaginal stone formation secondary to vaginal tape exposure for stress urinary incontinence: a case report

2019

Hong Kong Med J

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A 57-year-old woman presented with a hard mass in the vagina. In 2009 she underwent a spiral sling procedure for severe stress incontinence. She had not attended postoperative follow-up examinations despite recurrence of stress incontinence symptoms around 18 months after surgery. She reported no pain or abnormal vaginal bleeding. Physical examination revealed a stone measuring around 3 cm along the right vaginal sulcus attaching to the exposed mesh. Vaginal stone removal was performed under general anaesthesia. Dissection was done along the exposed mesh up to the retropubic space as far as possible (Fig). A total of 1.5 cm vaginal mesh was removed together with the stone. Cystoscopy was also performed to exclude any tape erosion or fistula and findings were normal. The vaginal stone was confirmed to be largely comprised of calcified material; basophilic fibrillary basophilic clumps admixed with refractile suture material and rare detached squamous epithelium. Gram and Grocott section confirmed bacteria morphologically compatible with Actinomyces species.

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

Cited by 8 publications

References 13 publications

Vaginal Calculus Formation on Exposed Midurethral Sling Mesh

Vaginal Calculus Formation on Exposed Midurethral Sling Mesh

Huge vaginal stone: Case report and review of the literature

Vaginal stone formation secondary to vaginal tape exposure for stress urinary incontinence: a case report

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