Advertisement

Surgical removal of a large vaginal calculus formed after a tension-free vaginal tape procedure

  • 182 Accesses

  • 2 Citations

Abstract

Vaginal calculus is a rare disorder which has been reported in association with urethral diverticulum, urogenital sinus anomaly, bladder exstrophy and the tension-free vaginal tape (TVT) procedure. We report a 42-year-old woman who presented with persistent, intractable urinary tract infection (UTI) following a TVT procedure. Cystoscopy demonstrated an eroded tape with the formation of a bladder calculus, and the patient underwent laser cystolithotripsy and cystoscopic resection of the tape. Following this procedure, her UTI completely resolved and she remained asymptomatic for several years. Seven years later she presented with a solid vaginal mass. Pelvic examination followed by transvaginal ultrasonography and magnetic resonance imaging demonstrated a large vaginal calculus located at the lower third of the anterior vaginal wall adjacent to the bladder neck. This video presents the transvaginal excision and removal of the vaginal calculus.

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

Subscribe to journal

Immediate online access to all issues from 2019. Subscription will auto renew annually.

US$ 199

This is the net price. Taxes to be calculated in checkout.

References

  1. 1.

    Ranawaka RS, Goyal A, Shabani A, Hennayake S, Dickson AP, Cervellione RM (2015) Novel approach to vaginal calculus in a girl with urogenital sinus anomaly. J Pediatr Surg. doi:10.1016/j.jpedsurg.2012.07.033

  2. 2.

    Tavakkoli M, Ghoreifi A (2014) Large vaginal and bladder calculi in a woman with previous operation of bladder exstrophy: a case report. Nephrourol Mon 6(1), e13637. doi:10.5812/numonthly.13637

  3. 3.

    Ismail SI, Gasson JN (2014) Vaginal stone formation on top of recurrent tension-free vaginal tape mesh erosion. J Obstet Gynaecol 34(5):452–453. doi:10.3109/01443615.2014.901303

  4. 4.

    Winkelman WD, Rabban JT 3rd, Korn AP (2016) Vaginal calculus in a woman with mixed urinary incontinence and vaginal mesh exposure. Female Pelvic Med Reconstr Surg 22(2):e20–e21. doi:10.1097/spv.0000000000000243

  5. 5.

    Ikeda Y, Oda K, Matsuzawa N, Shimizu K (2013) Primary vaginal calculus in a middle-aged woman with mental and physical disabilities. Int Urogynecol J 24(7):1229–1231. doi:10.1007/s00192-012-1902-0

  6. 6.

    Liu B, Huang X, Lu J, Zhang Z, Wang P, Huang Z (2008) Vaginal calculi secondary to urethrovaginal fistula with vaginal stenosis in a 14-year-old girl. Urol Res 36(1):73–75. doi:10.1007/s00240-007-0129-x

  7. 7.

    Feiner B, Auslender R, Mecz Y, Lissak A, Stein A, Abramov Y (2009) Removal of an eroded transobturator tape from the bladder using laser cystolithotripsy and cystoscopic resection. Urology 73(3):681.e615–681.e686. doi:10.1016/j.urology.2008.01.002

Download references

Author information

Correspondence to Ariel Zilberlicht.

Ethics declarations

Conflicts of interest

None.

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Electronic supplementary material

Below is the link to the electronic supplementary material.

(MP4 21076 kb)

ESM 1

(MP4 21076 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Zilberlicht, A., Feiner, B., Haya, N. et al. Surgical removal of a large vaginal calculus formed after a tension-free vaginal tape procedure. Int Urogynecol J 27, 1771–1772 (2016). https://doi.org/10.1007/s00192-016-3065-x

Download citation

Keywords

  • Tension-free vaginal tape
  • Surgery complications
  • Vaginal calculus