title: Giant primary vaginal calculus secondary to vesicovaginal fistula with partial vaginal outlet obstruction in a 12-year-old girl.
abstract: A vesicovaginal fistula with vagina obstruction associated with vaginal calculi is an extremely rare medical condition. We report a giant primary vaginal calculus resulting from vesicovaginal fistula with partial vaginal outlet obstruction secondary to perineum trauma and surgery in a 12-year-old girl. Episiotomy was performed and the adhesive labia minora was split. After the removal of a giant calculus in the vagina, approximately 8 cm in diameter, the fistula tract was completely excised, followed by the repair of the vesicovagina fistula and the vagina. The patient was symptom-free at 6-month follow-up examination.
authors.affiliation: Department of Urology, Fuzhou General Hospital, Fuzhou, Fujian, China.
authors.forename: Shushang
authors.initials: S
authors.lastname: Chen
authors.forename: Rong
authors.initials: R
authors.lastname: Ge
authors.forename: Lingfeng
authors.initials: L
authors.lastname: Zhu
authors.forename: Shunliang
authors.initials: S
authors.lastname: Yang
authors.forename: Weizhen
authors.initials: W
authors.lastname: Wu
authors.forename: Yin
authors.initials: Y
authors.lastname: Yang
authors.forename: Jianming
authors.initials: J
authors.lastname: Tan
mesh_terms: D002137:Calculi / Q000601:surgery*; D002648:Child; D004841:Episiotomy / Q000379:methods; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D010502:Perineum / Q000601:surgery; D011859:Radiography / Q000379:methods; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging / Q000601:surgery; D014623:Vaginal Diseases / Q000628:therapy*; D014719:Vesicovaginal Fistula / Q000175:diagnosis* / Q000628:therapy*