Department of Urology, Fuzhou General Hospital, Fuzhou, Fujian, China.
Urology. 2011 Oct;78(4):908-10. doi: 10.1016/j.urology.2011.01.026. Epub 2011 Mar 21.
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.
阴道膀胱瘘伴阴道梗阻并阴道结石极为罕见。我们报道了 1 例 12 岁女孩因会阴部创伤和手术继发阴道部分出口梗阻而导致的巨大原发性阴道结石，合并阴道膀胱瘘。行会阴切开术，分离粘连的小阴唇。在取出一个直径约 8 厘米的巨大阴道结石后，彻底切除瘘管，然后修补膀胱阴道瘘和阴道。患者在 6 个月随访时无症状。
