Complete transvaginal surgical management of multiple bladder calculi and obstructed uterine procidentia

Catherine O. Hudson, Abdulrahman K. Sinno, Gina M. Northington, Niall T.M. Galloway, Deborah R. Karp

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Bladder calculi are rare in women and are associated with irreducible pelvic organ prolapse. We report a case of irreducible uterine procidentia and bladder calculi that was surgically managed with a complete transvaginal approach. Case: A 76-year-old woman presented with irreducible complete uterine procidentia. Bladder stones were appreciated on examination and confirmed with imaging. The patient was managed surgically with transvaginal cystolithotomy, uterus-sparing Lefort colpocleisis, and perineorrhaphy under spinal anesthesia. The patient had an uncomplicated postoperative course without recurrent prolapse or urinary retention at 3-month follow-up. Conclusion: The presence of bladder calculi should be considered in the setting of irreducible pelvic organ prolapse. A complete transvaginal approach with cystolithotomy and concomitant obliterative procedure without hysterectomy is a safe and effective alternative to the traditional approach.

Original languageEnglish (US)
Pages (from-to)59-61
Number of pages3
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume20
Issue number1
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • Bladder calculi
  • Colpocleisis
  • Uterine procidentia
  • Vaginal cystolithotomy

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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