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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 8710315, 3 pages
https://doi.org/10.1155/2017/8710315
Case Report

Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence

Obstetrics and Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH, USA

Correspondence should be addressed to Jerome L. Yaklic; ude.thgirw@cilkay.emorej

Received 15 April 2017; Accepted 24 July 2017; Published 22 August 2017

Academic Editor: Julio Rosa-e-Silva

Copyright © 2017 Kara M. Griffiths et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Vaginal stones may form in the setting of mesh exposure with urinary incontinence. This report serves to help understand the presentation, evaluation, and management of vaginal urinary stones. Case. A 68-year-old female presented with a vaginal calculus. She had a history of anterior and posterior polypropylene mesh placement for prolapse 7 years earlier and urinary incontinence. The stone was identified on a portion of exposed mesh and removed in office. Pathology confirmed urinary etiology. The exposed mesh resolved with topical estrogen. Cystourethroscopy excluded urinary fistula and bladder mesh erosion. Conclusions. When identified, a vaginal calculus should be removed and evaluated for composition. Cystourethroscopy should be performed to assess potential urinary tract fistulas and mesh erosion. Additional imaging should be considered.