A rare case of vaginolith, vesical calculus with vesicovaginal fistula in adolescent female

Abstract

A case of large dumbbell shaped stone involving both vagina and urinary bladder secondary to vesicovaginal fistulae is presented. Vagina is a rare site for urinary stone formation. Clinical presentation is variable like difficulty in micturation and dyspareunia. Proper vaginal examination can be helpful to make the diagnosis. Attention is paid especially in young gynecologists for the importance of 1 st doing pelvic examination before carrying certain investigations and have a possibility of VVF with vaginal stone. We present a neglected case of vesicovaginal fistula with vaginolith and vesical calculus formation in a 15 year old girl with continuous dribbling of urine per vagina. Diagnosis was confirmed on ultrasonography CT IVU demonstrating exact site and size of vesical calculus. Vesical calculus was removed by combined suprapubic approach and repair of fistula was done after interval of 6 months by suturing urinary bladder and vagina defect and omentum interposition in between them.