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Article
Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence
Case Reports in Obstetrics and Gynecology
  • Kara M. Griffiths, Wright State University
  • Geoffrey D. Towers, Wright State University
  • Jerome L. Yaklic, Wright State University
Document Type
Article
Publication Date
1-1-2017
Abstract

Background

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. Case

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. Conclusions

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.

Comments

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

DOI
10.1155/2017/8710315
Citation Information
Kara M. Griffiths, Geoffrey D. Towers and Jerome L. Yaklic. "Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence" Case Reports in Obstetrics and Gynecology Vol. 2017 (2017) ISSN: 2090-6684
Available at: http://works.bepress.com/jerome-yaklic/11/