Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence

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...

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Main Authors: Kara M. Griffiths, Geoffrey D. Towers, Jerome L. Yaklic
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2017/8710315
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author Kara M. Griffiths
Geoffrey D. Towers
Jerome L. Yaklic
author_facet Kara M. Griffiths
Geoffrey D. Towers
Jerome L. Yaklic
author_sort Kara M. Griffiths
collection DOAJ
description 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.
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institution Kabale University
issn 2090-6684
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publishDate 2017-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-6e5f37901af44b6aab9b33c827544ab12025-02-03T01:25:54ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/87103158710315Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary IncontinenceKara M. Griffiths0Geoffrey D. Towers1Jerome L. Yaklic2Obstetrics and Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH, USAObstetrics and Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH, USAObstetrics and Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH, USABackground. 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.http://dx.doi.org/10.1155/2017/8710315
spellingShingle Kara M. Griffiths
Geoffrey D. Towers
Jerome L. Yaklic
Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence
Case Reports in Obstetrics and Gynecology
title Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence
title_full Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence
title_fullStr Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence
title_full_unstemmed Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence
title_short Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence
title_sort vaginal urinary calculi formation secondary to vaginal mesh exposure with urinary incontinence
url http://dx.doi.org/10.1155/2017/8710315
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