Doctors explained that vaginal stones can be silent for many years
In an extremely rare case, a woman was diagnosed with a vaginal calculus when she presented an initial complaint of infertility after marriage.
The 30-year-old, who has not been identified, underwent physical exams that raised signs that something was obstructing her vagina.
In the case report, published in the journal Urology Case Reports, the woman mentioned symptoms such as leakage of urine, irregular menstruation and severe cramping during the menstrual period.
Furthermore, she also had a history of traffic accident where, at the age of 5, she underwent bladder rupture surgery. However, as these complaints were not bothersome, the patient did not seek treatment for years.
Until, after a scan, huge stones were found with sizes of 3.6 cm by 5 cm and 5 cm by 5.8 cm, approximately the size of two ping pong balls.
One was attached to the wall of the bladder, while the other was attached to the wall of the rectum.
Vaginal calculus: when does it happen?
A calculus or lithiasis is characterized by the formation of compositions such as urine in a route of the organism, therefore having different variations of this disease: the renal, urethral and vaginal calculus.
According to a recently published article, doctors said that vaginal stones or stones can remain silent for many years in the body as they slowly form, remaining undetectable when it does not cause any symptoms in the patient.
The case study also explains that obstruction of the vaginal outlet is rarely associated with primary vaginal stones, which form due to the chronic accumulation of urine where it should not be, such as in the vagina.
In the patient’s case, the stones probably developed because she had an abnormal opening between the vagina and the ducts that carry urine from the kidneys to the bladder, called a ureterovaginal fistula.
For doctors, the case demonstrates that vaginal calculus may occur as a late complication of pelvic trauma.
This may have been a consequence of the injuries the young woman suffered as a child, which also caused damage to reproductive organs she was unaware of, partially blocking the opening of her vagina. This would explain the irregular menstruation and the fertility problem.
Vaginal stones: treatment and surgery
In the young woman’s case, surgeons removed the stones and corrected other abnormalities in the patient’s vagina.
The case report concluded that transvaginal stone removal with subsequent vaginoplasty and urethrovaginal fistula repair can restore the patient’s quality of life.
In addition, clinicians suggest that vaginal stone should be included in the differential diagnosis when stone is found in the pelvis on plain radiographs, especially in women with infertility and severe menstrual cramps.
Six months after the surgery, the woman had no problems.
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