Jakarta –
The journal Urology Case Reports recently published a rare case of a young woman with a very large vaginal stone between her pelvic organs. It is known that the 27 year old woman suffers from spastic cerebral palsy which makes her bedridden and dependent on treatment.
He also has a history of urinary incontinence, which is a condition involving loss of control of the bladder muscles which causes a person to have difficulty holding in urination.
Furthermore, he visited the emergency unit (ER) after experiencing fever and chills that lasted for three days. The unidentified woman also experienced decreased appetite, vomiting and severe stomach pain.
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She then underwent a gynecological examination and doctors confirmed there was a ‘stone’ the size of a large orange between her pelvic organs.
The doctor who treated him then placed a left ureteral stent to decompress the kidney. Patients are also started to be given spectrum antibiotics while waiting for the urine culture procedure or examination to detect the presence of bacteria in the urine. The patient’s urine culture results stated that he had a gram-negative bacillus infection, Pseudomonas aeruginosa.
He then underwent targeted culture therapy to treat the infection.
Once the infection was resolved, doctors from the Lebanese University, used laser therapy to break up the mass. Ultrasound shock waves are emitted from the device into the patient’s abdomen, on the outside of the body.
After being broken into several pieces, the stones were removed using forceps during an operation that lasted three hours. The vaginal stone lodged between the woman’s pelvic organs was so large that it was pressing on her bladder. This condition reduces capacity and causes urine leakage.
After surgery, the patient is then sent home with antibiotics, and the nurse is advised to carry out scheduled follow-up. Analysis of the stones in the woman’s pelvic organs is formed from a mixture of calcium oxalate and struvite crystals.
Apart from that, the doctor explained that the vaginal stones experienced by this woman were a rare case. Similar to kidney stones, vaginal stones are usually influenced by various factors including diet, urine pH, urine stasis, microbiome, sex hormones, and genetics.
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2023-11-26 14:21:33
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