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Bladder stone causing vesicovaginal fistula and migration into the vagina
  1. Parag Sonawane,
  2. Vyshnavi Sathish and
  3. Mehwash Nadeem
  1. Department of Urology, James Cook University Hospital, Middlesbrough, UK
  1. Correspondence to Dr Parag Sonawane; drparag.sonawane{at}gmail.com

Abstract

Bladder stone is a known complication in a neurogenic bladder that can very rarely cause vesicovaginal fistula (VVF). We are presenting the case of a woman in her late 70s, bed bound with progressive multiple sclerosis (MS), who was referred to urology for consideration of suprapubic catheter due to difficulty in managing her indwelling urethral catheter. The ultrasonogram (USG) identified a 4.7 cm bladder stone with right-sided hydronephrosis (HN) and left atrophic kidney. A CT scan later showed that a 5 cm bladder stone has migrated through a VVF into her vagina. She had a cystoscopy and transvaginal retrieval of the stone. Given her performance status and intraoperative finding of a small contracted bladder, it was agreed to manage her VVF conservatively.

To the best of our knowledge, this is the first case of a primary bladder stone migrating into the vagina through a VVF.

  • Catheterisation / catheter care
  • Multiple sclerosis
  • Urinary and genital tract disorders

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Footnotes

  • Twitter @iamdrparag, @Mehwash_Nadeem

  • Contributors MN proposed, contributed and reviewed the manuscript. VS produced the first draft, obtained the necessary consent. PS contributed, revised and prepared the final draft of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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