Uterovaginal Prolapse with Giant Vesical Calculus: A Rare Case Report.

ABSTRACT

Massive or giant vesical calculus is a rare entity in urological practice. Females are less affected than males. Vesical calculi are usually due to long-standing uterovaginal prolapse and bladder outlet obstruction coupled with chronic infection. These patients present with recurrent urinary tract infection (UTI), hematuria or with retention of urine. We report a case of 50-yearold female, who presented with history of mass per vagina and recurrent UTI. Her renal function tests were normal and urine examination showed infection. Plain X-ray showed a large radio-opaque calculus in pelvic region. Ultrasound pelvis reported a large freely mobile vesical calculus 9 x 11 cm with bilateral hydroureteronephrosis, which was more pronounced on left side than right. After controlling UTI, she underwent an open suprapubic cystolithotomy and total abdominal hysterectomy and bilateral salpingo-oophorectomy. Postoperative stay was uneventful and she was discharged on 10th postoperative day. Patient is still on follow-up with good urinary function and no recurrent UTI.