Cystolitholapaxy and Laparoscopic Sacrocolpopexy in a case of multiple urinary bladder calculi & vault prolapse

We report a case of 65 year old female, with mass per vagina since 10 years, who developed acute urinary retention due to impaction of vesical calculus at the external urethra meatus. Subsequently in a span of 12 hrs she passed 3 more vesical calculi. KUB X-ray failed to show any calculi but CT KUB showed 2 vesical calculi. After cystolitholapaxy she underwent laparoscopic sacrocolpopexy for vault prolapse. In cases of chronic uterovaginal prolapse or vault prolapse X ray KUB should not miss the prolapsed part of the cystocele as calculi are present in the most redundant part. Chances of missing radiolucent uric acid calculi is high. In such cases CT KUB is essential.

Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - October 12, 2019 Category: OBGYN Source Type: research