A case of transvaginal lithotripsy for a giant vaginal calculus

Autor: Shunsuke Owa, Shigenori Yonemura, Masaki Sakurai, Takahiro Inoue
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: IJU Case Reports, Vol 5, Iss 3, Pp 157-160 (2022)
Druh dokumentu: article
ISSN: 2577-171X
DOI: 10.1002/iju5.12421
Popis: Introduction Primary vaginal calculi are relatively rare, compared with secondary calculi. Primary calculi are often a result of urogenital sinus abnormalities, neurogenic bladder, or chronic incontinence. Case presentation Forty‐seven years old female with cerebral palsy since infancy had longstanding urinary incontinence. She visited her doctor for a fever and was referred to us with a urinary tract infection. Imaging revealed a large vaginal calculus. It was not possible to remove the calculus vaginally without crushing it, so we performed rigid cystoscopy with lithotripsy, using a pneumatic lithotripsy device. The calculus was completely removed without complications. Conclusion We were able to remove a large primary vaginal calculus using ultrasonic and pneumatic lithotripsy through a rigid cystoscope. Minimally invasive surgery is a good option for patients with large vaginal calculi.
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