Surgical removal of a large vaginal calculus formed after a tension-free vaginal tape procedure.
Vaginal calculus is a rare disorder which has been reported in association with urethral diverticulum, urogenital sinus anomaly, bladder exstrophy and the tension-free vaginal tape (TVT) procedure. We report a 42-year-old woman who presented with persistent, intractable urinary tract infection (UTI) following a TVT procedure. Cystoscopy demonstrated an eroded tape with the formation of a bladder calculus, and the patient underwent laser cystolithotripsy and cystoscopic resection of the tape. Following this procedure, her UTI completely resolved and she remained asymptomatic for several years. Seven years later she presented with a solid vaginal mass. Pelvic examination followed by transvaginal ultrasonography and magnetic resonance imaging demonstrated a large vaginal calculus located at the lower third of the anterior vaginal wall adjacent to the bladder neck. This video presents the transvaginal excision and removal of the vaginal calculus.
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Technion University, Rappaport Faculty of Medicine, 7 Michal St., Haifa, Israel, 31048. arielzilberlicht@gmail.com.
Ariel
A
Zilberlicht
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel.
Benjamin
B
Feiner
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Technion University, Rappaport Faculty of Medicine, 7 Michal St., Haifa, Israel, 31048.
Nir
N
Haya
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Technion University, Rappaport Faculty of Medicine, 7 Michal St., Haifa, Israel, 31048.
Ron
R
Auslender
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Carmel Medical Center, Technion University, Rappaport Faculty of Medicine, 7 Michal St., Haifa, Israel, 31048.
Yoram
Y
Abramov
D000328:Adult; D002137:Calculi / Q000175:diagnosis* / Q000601:surgery; D003558:Cystoscopy; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008096:Lithotripsy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D053825:Suburethral Slings / Q000009:adverse effects*; D014463:Ultrasonography; D001744:Urinary Bladder Calculi / Q000175:diagnosis / Q000628:therapy*; D014552:Urinary Tract Infections / Q000209:etiology / Q000628:therapy; D014621:Vagina / Q000601:surgery*; D014623:Vaginal Diseases / Q000175:diagnosis* / Q000601:surgery
Surgery complications; Tension-free vaginal tape; Vaginal calculus