Vesical Calculi Associated with Vesicovaginal Fistulas: Management Considerations

Mahapatra, T.P.; Rao, M.S.; Rao, K.M.K.; Sharma, Surinder K.; Vaidyanathan, S.

doi:10.1016/s0022-5347(17)44742-2

Cited by 16 publications

(9 citation statements)

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“…In patients with lower urinary tract symptoms after hysterectomy, cystoscopy is helpful in diagnosis, and vaginal ultrasound might detect overlooked lesions such as a second fistula or small stones. Once the fistula occurs, repair should be undertaken after resolving stone-induced edema and friability of the vesical wall [8]. …”

Section: Discussionmentioning

confidence: 99%

Iatrogenic bladder stone and associated vesicovaginal fistula after hysterectomy

Chien

Liang

2006

Gynecol Surg

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A patient had irritative lower urinary tract symptoms for 2 years after hysterectomy. During cystoscopy, a bladder stone was seen and removed, but watery vaginal discharge emerged. The subsequent transvaginal ultrasound revealed a fistulous tract between the bladder and the vagina. The methylene blue test further confirmed the diagnosis of vesicovaginal fistula. We performed a delayed Latzko procedure to successfully repair the fistula.

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Section: Discussionmentioning

confidence: 99%

Iatrogenic bladder stone and associated vesicovaginal fistula after hysterectomy

Chien

Liang

2006

Gynecol Surg

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“…Secondary calculi are less common and typically form around nonabsorbable suture material used in vesicovaginal fistula repair or around a foreign body retained in the vagina. 4,5 Unusually a bladder stone can migrate into the vagina through the vesicovaginal septum to cause a secondary vaginal calculus.…”

Section: Discussionmentioning

confidence: 99%

Vaginal calculus secondary to vaginal outlet obstruction

Malhotra

Kumar

Roy

et al. 2004

J of Clinical Ultrasound

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Primary vaginal stones are extremely rare and are often mistaken for bladder calculi on plain radiography. However, intravenous pyelography and sonography can help differentiate between the two. We report a case of a large vaginal stone in a 21-year-old woman referred for apareunia and difficult micturation. The clinical findings of vaginal outlet obstruction and a hard mass anterior to the rectum made us suspect a bladder calculus; however, sonography of the pelvis indicated that the mass was in the vagina. Further examination using a probe to physically define the stone's location confirmed it to be a vaginal calculus. Surgery was performed to repair the outlet obstruction and remove the stone, which permitted the woman to urinate normally and engage in normal sexual relations.

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“…In the few published cases; mental deficiency, neurlogical urinary incontinence, posttraumatic occlusion of the vagina and female circumcision were the main etiological factors [4,5,6,7]. Savel [7] reported a stone of haematic origin, in a 33 year old unmarried women with a congenital transverse vaginal septum, which almost completely closed the proximal half of the vagina.…”

Section: Discussionmentioning

confidence: 99%

“…Retention of blood in the vagina might have led to the deposition of hemosiderin crystals and desquamated epithelial cells forming a nidus for stone formation [4,5,6,7].…”

Section: Discussionmentioning

confidence: 99%