A new method for trans-vaginal extraction of an impacted vaginal calculus: A case report

Vaginal stones are a rare pathology, with no clear guidelines on management and optimal removal techniques.

We report a novel surgical technique, leading to safe transvaginal extraction of the largest reported impacted vaginal stone. In this case we removed an 11 cm struvite stone transvaginally from a 46 year old patient. This was achieved by hollowing it out with surgical drills, allowing safe collapse of the outer cortex and complete removal.

Our technique allowed for the safe, minimally invasive removal of the largest stone to be reported so far in the literature, preventing further complications for the patient. A full description of our technique is outlined to allow other clinicians utilisation of this for similar cases in the future.

Future vaginal calculi could be managed using this technique, preventing the need for laparotomy or vaginal trauma.