Giant vaginal stone as a complication of long-term urethrovaginal fistula: A case report

Abstract

Case presentation A case of a 57 years old woman came with the chief complaint of urinary incontinence since 20 years ago. After labor, she complained of urinary incontinence and left untreated. Physical examination and urethrocystoscopy revealed vaginal stone sized 90 × 70 mm and urethrovaginal fistula. We performed hysterectomy and vaginal stone removal, continued with fistula closure and vaginal repair. Up to 2 months follow up, no sign of urinary leakage and incontinence was found. Conclusion Vaginal stone is a rare Case that might be present in a case of long term urethrovaginal fistula with neglected contraceptive device.

Multiple vaginal stones secondary to an ectopic ureter in an adult female patient: a case report

“…Although the risk factor for vaginal stones has not been accurately defined, avoiding recurrent UTIs, sufficient treatment of urinary incontinence, and early assessment of the anatomic deformity of the genitourinary system can prevent the development of vaginal stones. [2][3][4] Vaginal stones develop slowly and are only detected when they are large enough to show clinical manifestation. 2 True incontinence is one of the most clinical manifestations found in all primary vaginal stone cases, which presents from the early stage of the disease.…”

“…Ectopic ureter insertion into the vagina can form vaginal stones due to urinary stasis and repeated infection. 1,3 In this report, we presented a case of multiple giant vaginal stones due to an ectopic ureter associated with a duplex renal system in an adult female patient.…”

“…2 Primary vaginal stones result from stagnant urine within the vagina, while secondary vaginal stones are caused by a nidus from the deposition of inorganic salts around foreign bodies in the vagina. 3 They are commonly caused by congenital genitourinary abnormalities, such as an ectopic ureter, trauma, and urethrovaginal fistula secondary to scarring after gynecologic surgeries. 3 Ectopic ureter is often associated with a duplex renal system, which can be classified into a complete and incomplete double system ureter.…”

“…3 They are commonly caused by congenital genitourinary abnormalities, such as an ectopic ureter, trauma, and urethrovaginal fistula secondary to scarring after gynecologic surgeries. 3 Ectopic ureter is often associated with a duplex renal system, which can be classified into a complete and incomplete double system ureter. Ectopic ureter insertion into the vagina can form vaginal stones due to urinary stasis and repeated infection.…”