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Case Reports
. 2021 Jan;32(1):211-213.
doi: 10.1007/s00192-020-04437-8. Epub 2020 Jul 25.

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

Kristen Buono  1 , Paul Wadensweiler  2 , Felicia Lane  2 , Taylor Brueseke  2
Affiliations
Case Reports

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

Kristen Buono et al. Int Urogynecol J. 2021 Jan.

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.

Keywords: Calculus extraction; Vaginal calculus; Vaginal mass.

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References

    1. 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 .
    1. 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 .
    1. 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.
    1. 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 .
    1. 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 .

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