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Primary vaginal calculus in a patient with meningomyelocele
Archives of Physical Medicine and Rehabilitation
|May 1, 1981
Insights
A rare vaginal calculus developed in a 12-year-old girl due to urinary stasis from incontinence and lack of care. Surgical removal was successful, followed by orthopedic procedures and intermittent catheterization.
Area of Science:
- Pediatric Urology
- Rehabilitation Medicine
- Gynecologic Surgery
Background:
- Meningomyelocele, a congenital condition, often leads to urinary incontinence and mobility issues.
- Prolonged urinary incontinence and decubitus ulcers are significant risk factors for calculus formation.
- Inadequate medical and rehabilitation care can exacerbate complications in patients with spina bifida.
Observation:
- A 12-year-old female patient with a history of meningomyelocele since birth presented with a rare vaginal calculus.
- The calculus formation was attributed to urinary stasis, prolonged incontinence, and extensive decubitus ulcers.
- The patient had received minimal medical or rehabilitation support.
Findings:
- Surgical excision of the vaginal calculus was performed without any complications.
- The patient's underlying conditions necessitated a staged approach to treatment.
- Post-surgical management included elective orthopedic procedures and the initiation of intermittent catheterization.
Implications:
- This case highlights the importance of comprehensive care for pediatric patients with meningomyelocele.
- Early intervention and consistent management can prevent rare complications like vaginal calculi.
- Intermittent catheterization may be crucial for managing urinary stasis and preventing recurrence.
Abstract:
The development of a rare vaginal calculus in a 12-year-old girl with meningomyelocele since birth is attributed to urinary stasis resulting from prolonged urinary incontinence, decubiti of long duration and almost complete lack of medical or rehabilitation care. After surgical removal of the calculus without complications, a series of elective orthopedic procedures has been gradually undertaken and a program of intermittent catheterization has been started.