Stone accumulation overlying vaginal mesh exposure:A case report  

作　　者：Karissa A Leong Katherine E Husk 

机构地区：[1]Division of Female Pelvic Medicine and Reconstructive Surgery,Department of Obstetrics and Gynecology,Albany Medical Center,Albany,NY 12208,United States

出　　处：《World Journal of Obstetrics and Gynecology》2023年第3期28-32,共5页世界妇产科杂志

摘　　要：BACKGROUND Vaginal stones are rare with current literature limited to case reports.Vaginal stones are classified as primary or secondary stones.Primary stones form in the vagina when there is urinary stasis.Secondary stones form in the presence of a vaginal foreign body that acts as a nidus for the deposition of urinary salts.Foreign bodies,such as surgical mesh,make vaginal stone formation more likely,particularly in patients with urinary incontinence and conditions that predispose them to urinary calculi formation.CASE SUMMARY A 71-year-old female with a history of sacrocolpopexy,hyperaldosteronism,and urgency urinary incontinence presented with vaginal stone accumulation overlying two areas of vaginal sacrocolpopexy mesh exposure.The vaginal stones were initially removed to permit examination,but the stones reaccumulated at the site of the exposed mesh,later requiring definitive surgical management.CONCLUSION Patients with vaginal mesh exposure and conditions that predispose them to kidney stones are not ideal candidates for expectant management of mesh exposure,particularly if they have coexisting urinary incontinence.These individuals should be counseled about possible vaginal stone accumulation,and surgical management should be considered.

关 键 词：Vaginal stones Urgency urinary incontinence SACROCOLPOPEXY Mesh complications Mesh exposure Case report 

分 类 号：R69[医药卫生—泌尿科学]