Vaginal stones in a 5-year-old girl: a novel approach of removal.
BACKGROUND
Primary vaginal stones in children are extremely rare and removal can be difficult. We describe a procedure for safe extraction of vaginal stones.


METHODS
A 5-year-old, wheelchair-bound girl was referred to the urologic department with recurrent febrile urinary tract infection. Diagnostics of the kidneys showed no abnormalities. The bladder appeared to contain two stones. On urethro-cystoscopy no stones were seen. Vaginoscopy identified vaginal stones. After 4 weeks of estrogen treatment, a second procedure via vaginal introduction of a nephroscope in combination with an ultrasonic device, effectively disintegrated the stones.


CONCLUSIONS
We recommend the use of a nephroscope in visualizing the vagina and cervix and facilitating instrumentation in prepubertal girls.
Jaspers
Judith W
JW
Department of Gynecology and Obstetrics, Catharina Hospital, Eindhoven, the Netherlands. judithjaspers@gmail.com
Kuppens
Simone M
SM
van Zundert
Andre A
AA
de Wildt
Michel J
MJ
D002137:Calculi / Q000737:chemistry / Q000601:surgery*; D002675:Child, Preschool; D019988:Children with Disabilities; D004997:Ethinyl Estradiol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D017616:Magnesium Compounds / Q000032:analysis; D010710:Phosphates / Q000032:analysis; D011300:Preoperative Care; D000069877:Struvite; D014623:Vaginal Diseases / Q000601:surgery*
D017616:Magnesium Compounds; D010710:Phosphates; D004997:Ethinyl Estradiol; D000069877:Struvite