Department of Obstetrics and Gynaecology, Faculty of Medicine Ramathibodi Hospital Mahidol University, Bangkok, Thailand.
Department of Surgery, Faculty of Medicine Ramathibodi Hospital Mahidol University, Bangkok, Thailand.
Urol Int. 2023;107(8):835-838. doi: 10.1159/000531523. Epub 2023 Jul 24.
Bladder calculi are rare in women. We report a case of bladder calculi complicating irreducible uterovaginal prolapse. It provides diagnostic and operative challenges to the management team. A 77-year-old woman presented with irreducible complete uterovaginal prolapse. Bladder stones were appreciated on examination and confirmed with imaging. The patient was managed surgically with transabdominal hysterectomy with bilateral uterosacral colpopexy followed by cystolithotomy. The patient's postoperative course was uncomplicated, and she had an uneventful recovery at her 3-month postoperative visit without a recurrence of prolapse and gained good continence. The presence of bladder calculi should be considered in the setting of irreducible pelvic organ prolapse. The abdominal approach of cystolithotomy with a concomitant hysterectomy and vaginal apical suspension is safe and effective.
膀胱结石在女性中较为罕见。我们报告了一例膀胱结石合并不可还原的子宫阴道脱垂的病例。这为管理团队提供了诊断和手术方面的挑战。一名 77 岁女性因不可还原的完全子宫阴道脱垂就诊。检查时发现膀胱结石，并通过影像学检查得到证实。患者接受了经腹子宫切除术和双侧子宫骶骨阴道固定术，随后进行了膀胱结石切开术。患者术后恢复顺利，3 个月的随访时无脱垂复发，且控尿功能良好。在不可还原的盆腔器官脱垂的情况下，应考虑存在膀胱结石。同时进行经腹膀胱结石切开术、子宫切除术和阴道顶端悬吊术是安全有效的。
