Abstract
<p> <h3 id="x-x-__sec1title"> Background </h3> <p id="x-x-__p2"> Vaginal stones may form in the setting of mesh exposure with urinary incontinence. This report serves to help understand the presentation, evaluation, and management of vaginal urinary stones. <h3 id="x-x-__sec2title"> Case </h3> <p id="x-x-__p3"> A 68-year-old female presented with a vaginal calculus. She had a history of anterior and posterior polypropylene mesh placement for prolapse 7 years earlier and urinary incontinence. The stone was identified on a portion of exposed mesh and removed in office. Pathology confirmed urinary etiology. The exposed mesh resolved with topical estrogen. Cystourethroscopy excluded urinary fistula and bladder mesh erosion. <h3 id="x-x-__sec3title"> Conclusions </h3> <p id="x-x-__p4"> When identified, a vaginal calculus should be removed and evaluated for composition. Cystourethroscopy should be performed to assess potential urinary tract fistulas and mesh erosion. Additional imaging should be considered. </p> </p> </p></p>
Original language | American English |
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Journal | Case Reports in Obstetrics and Gynecology |
Volume | 2017 |
DOIs | |
State | Published - Jan 1 2017 |
Disciplines
- Medical Specialties
- Medicine and Health Sciences
- Obstetrics and Gynecology