Complete Transvaginal Surgical Management of Multiple Bladder Calculi and Obstructed Uterine Procidentia

作者：Hudson Catherine O^*; Sinno Abdulrahman K; Northington Gina M; Galloway Niall T M; Karp Deborah R

来源：Female Pelvic Medicine and Reconstructive Surgery, 2014, 20(1): 59-61.

DOI：10.1097/SPV.0b013e318288ad82

• bladder calculi
• uterine procidentia
• vaginal cystolithotomy
• colpocleisis

Background: Bladder calculi are rare in women and are associated with irreducible pelvic organ prolapse. We report a case of irreducible uterine procidentia and bladder calculi that was surgically managed with a complete transvaginal approach.
Case: A 76-year-old woman presented with irreducible complete uterine procidentia. Bladder stones were appreciated on examination and confirmed with imaging. The patient was managed surgically with transvaginal cystolithotomy, uterus-sparing Lefort colpocleisis, and perineorrhaphy under spinal anesthesia. The patient had an uncomplicated postoperative course without recurrent prolapse or urinary retention at 3-month follow-up.
Conclusion: The presence of bladder calculi should be considered in the setting of irreducible pelvic organ prolapse. A complete transvaginal approach with cystolithotomy and concomitant obliterative procedure without hysterectomy is a safe and effective alternative to the traditional approach.

• 出版日期2014-2