nach oben

International Urogynecology Journal

Erschienen in:

25.07.2020 | IUJ Video

Extraction of a large vaginal calculus utilizing an ear, nose, throat mallet and osteotomes

verfasst von: Kristen Buono, Paul Wadensweiler, Felicia Lane, Taylor Brueseke

Erschienen in: International Urogynecology Journal | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Previous case reports on vaginal calculi extraction have described the removal of small calculi facilitated via episiotomy or transabdominal incision. This surgical video demonstrates a novel technique of transvaginal extraction of a large calculus utilizing an ear, nose, and throat (ENT) mallet and osteotomes.

Case

An 86-year-old female with urgency incontinence and limited mobility presented with obstipation and was found to have an 8.8 cm vaginal calculus. She had a history of prior vaginal mesh exposure after a mid-urethral sling that was managed expectantly without surgical resection. Cystourethroscopy and anoscopy excluded fistula. The calculus was extracted utilizing an ENT mallet and osteotomes in < 90 min, and no recurrent vaginal mesh exposure was identified.

Conclusion

An ENT mallet and osteotomes can be safely utilized to expedite extraction of a vaginal calculus.

Nur mit Berechtigung zugänglich

Chen S, Ge R, Zhu L, Yang S, Wu W, Yang Y, et al. Giant primary vaginal calculus secondary to vesicovaginal fistula with partial vaginal outlet obstruction in a 12-year-old girl. Urology. 2011;78(4):908–10. https://doi.org/10.1016/j.urology.2011.01.026.

Castellan P, Nicolai M, De Francesco P, Di Tizio L, Castellucci R, Bada M, et al. Primary vaginal calculus in a woman with disability: case report and literature review. J Endourol Case Reports. 2017;3(1):182–5. https://doi.org/10.1089/cren.2017.0100.

Malhotra N, Kumar S, Roy KK, Agarwal R, Verma V. Vaginal calculus secondary to vaginal outlet obstruction. J Clin Ultrasound. 2004;32(4):204–6.

Ranawaka RS, Goyal A, Shabani A, Hennayake S, Dickson AP, Cervellione RM. Novel approach to vaginal calculus in a girl with urogenital sinus anomaly. J Pediatr Surg. 2015;S0022-3468(12):00546–5. https://doi.org/10.1016/j.jpedsurg.2012.07.033.

Surya M, Sharma C, Sood D, Soni A, Sharma R, Nandolia K. Neglected vaginal foreign body leading to vaginolith, vesicovaginal fistula and vesical calculus formation in an adolescent girl. BJR|Case Reports. 2016;2(2):20150474. https://doi.org/10.1259/bjrcr.20150474.

Winkelman WD, Rabban JT, Korn AP. Vaginal calculus in a woman with mixed urinary incontinence and vaginal mesh exposure. Female Pelvic Med Reconstr Surg. 2016;22(2):e20–1. https://doi.org/10.1097/SPV.0000000000000243.

Griffiths KM, Towers GD, Yaklic JL. Vaginal urinary calculi formation secondary to vaginal mesh exposure with urinary incontinence. Case Rep Obstet Gynecol. 2017;2017:8710315. https://doi.org/10.1155/2017/8710315.

Tavakkoli M, Ghoreifi A. Large vaginal and bladder calculi in a woman with previous operation of bladder exstrophy: a case report. Nephrourol Mon. 2016;6(1):2013–5. https://doi.org/10.5812/numonthly.13637.

Titel: Extraction of a large vaginal calculus utilizing an ear, nose, throat mallet and osteotomes
verfasst von: Kristen Buono
Paul Wadensweiler
Felicia Lane
Taylor Brueseke
Publikationsdatum: 25.07.2020
Verlag: Springer International Publishing
Erschienen in: International Urogynecology Journal / Ausgabe 1/2021
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-020-04437-8

Neu im Fachgebiet Gynäkologie und Geburtshilfe

23.04.2024 | Medikamente in Schwangerschaft und Stillzeit | Nachrichten

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Extraction of a large vaginal calculus utilizing an ear, nose, throat mallet and osteotomes

Abstract

Background

Case

Conclusion

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie

Springer Medizin

Abstract

Background

Case

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2021

Is the fixation of single incision TVT-S tape as good as that of transobturator tape? An ultrasound study of randomized trial results

Surgical management of stress urinary incontinence following traumatic pelvic injury

Correction to: Urethral closure occurs by recoiling, pressure transmission, and a guarding reflex

Estrogen for the prevention of recurrent urinary tract infections in postmenopausal women: a meta-analysis of randomized controlled trials

Making a decision about surgery for female urinary incontinence: a qualitative study of women’s views

Correction to: Does concurrent posterior repair for an asymptomatic rectocele reduce the risk of surgical failure in patients undergoing sacrocolpopexy?

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie