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Vaginal Calculus Formation on Exposed Midurethral Sling Mesh
Adam J Langer1, Zenab Saeed2, Elizabeth Barrett1
1Department of Obstetrics and Gynecology, Wright State University, Dayton, USA.
Case Reports in Obstetrics and Gynecology
|March 25, 2024
Summary
Vaginal calculi are rare stones that can form due to urinary stagnation. This case highlights calculus formation on midurethral sling mesh in an elderly patient, emphasizing diagnosis and treatment.
Area of Science:
- Urology
- Gynecology
Background:
- Vaginal calculi are uncommon, often linked to urinary stagnation.
- Management challenges arise from calculus size, location, and adjacent anatomy.
Observation:
- Presents a rare case of vaginal calculus formation on exposed midurethral sling mesh.
- Occurred in an elderly patient with a history of hemorrhagic cystitis.
Findings:
- The calculus formed secondary to the presence of the foreign body (sling mesh).
- Hemorrhagic cystitis may have contributed to the urinary stagnation and calculus development.
Implications:
- Highlights the importance of evaluating for secondary fistulas or erosion with vaginal calculi.
- Underscores the need for thorough assessment of adjacent anatomy and potential foreign bodies during management.
