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

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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.

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Acknowledgements

Previously presented at the American Urogynecologic Society Annual Meeting, Chicago, IL, October 2018.

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Authors and Affiliations

  1. Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of California, Irvine Medical Center, 333 City Blvd West, Suite 1400, Orange, CA, 92868, USA

    Kristen Buono, Paul Wadensweiler, Felicia Lane & Taylor Brueseke

Authors
  1. Kristen Buono
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  2. Paul Wadensweiler
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  3. Felicia Lane
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  4. Taylor Brueseke
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Contributions

K. Buono: Project development, data collection, manuscript writing.

P. Wadensweiler: Data collection, manuscript writing.

F. Lane: Project development, manuscript editing.

T. Brueseke: Project development, manuscript editing.

Corresponding author

Correspondence to Kristen Buono.

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Financial disclaimers

K. Buono: No financial disclosures to report.

P. Wadensweiler: No financial disclosures to report.

F. Lane: Research funding from Axonics and Boston Scientific.

T. Brueseke: No financial disclosures to report.

Conflict of interest

Author F. Lane has received research grants from Boston Scientific and Axonics. The other authors declare that they have no conflicts of interest.

Consent

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

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Buono, K., Wadensweiler, P., Lane, F. et al. Extraction of a large vaginal calculus utilizing an ear, nose, throat mallet and osteotomes. Int Urogynecol J 32, 211–213 (2021). https://doi.org/10.1007/s00192-020-04437-8

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  • DOI: https://doi.org/10.1007/s00192-020-04437-8

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