AlSary Saeed, Al-Zahrani Eman F, Al Baalharith Maha
Urogynecology and Reconstructive Pelvic Surgery, King Abdul-Aziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.
Obstetrics and Gynecology, King Abdullah International Medical Research Center, Riyadh, SAU.
Cureus. 2023 Sep 2;15(9):e44578. doi: 10.7759/cureus.44578. eCollection 2023 Sep.
This study presents a case report and reviews the literature on the simultaneous occurrence of advanced uterovaginal prolapse and urolithiasis, aiming to provide a comprehensive analysis of the reported cases. A thorough search was conducted in PubMed and Google Scholar; the search strategy included specific keywords and terms related to both conditions aiming to identify relevant case reports describing the association between advanced uterovaginal prolapse and urolithiasis; a total of 22 case reports were found in English literature. We present a case report of a 56-year-old woman, para 4, presenting with complaints of vaginal bulge and urinary symptoms. Upon examination, a complete procidentia with superficial ulceration was observed. During the reduction of the uterus, multiple small stones were noted coming through the urethral meatus. The patient underwent a vaginal hysterectomy, and the bladder stone was successfully extracted through vaginal cystotomy without complications. Our case report highlights the association between vesical calculi and female high-grade pelvic organ prolapse. Managing bladder stones in the context of pelvic organ prolapse can be challenging and vary significantly, reflecting the individual patient characteristics and surgeon preferences. The lack of standardized guidelines for managing bladder stones in the presence of pelvic organ prolapse highlights the need for further research.
本研究呈现了一例病例报告，并回顾了关于晚期子宫阴道脱垂与尿路结石同时发生的文献，旨在对已报道的病例进行全面分析。我们在PubMed和谷歌学术上进行了全面检索；检索策略包括与这两种病症相关的特定关键词和术语，旨在识别描述晚期子宫阴道脱垂与尿路结石之间关联的相关病例报告；在英文文献中总共发现了22例病例报告。我们呈现一例56岁、孕4产的女性病例报告，她主诉有阴道肿物和泌尿系统症状。经检查，发现完全性子宫脱垂伴浅表溃疡。在子宫还纳过程中，注意到多个小结石从尿道口排出。该患者接受了阴道子宫切除术，并通过阴道膀胱切开术成功取出膀胱结石，未出现并发症。我们的病例报告强调了膀胱结石与女性重度盆腔器官脱垂之间的关联。在盆腔器官脱垂的情况下处理膀胱结石可能具有挑战性，且差异很大，这反映了个体患者特征和外科医生的偏好。在存在盆腔器官脱垂的情况下，缺乏处理膀胱结石的标准化指南凸显了进一步研究的必要性。
