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  • Title: Complete transvaginal surgical management of multiple bladder calculi and obstructed uterine procidentia.
    Author: Hudson CO, Sinno AK, Northington GM, Galloway NT, Karp DR.
    Journal: Female Pelvic Med Reconstr Surg; 2014; 20(1):59-61. PubMed ID: 24368492.
    Abstract:
    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.
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