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International Urogynecology Journal

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01-01-2021 | Episiotomy | IUJ Video

Extraction of a large vaginal calculus utilizing an ear, nose, throat mallet and osteotomes

Authors: Kristen Buono, Paul Wadensweiler, Felicia Lane, Taylor Brueseke

Published in: International Urogynecology Journal | Issue 1/2021

Abstract

Background

Previous case reports on vaginal calculi extraction have described the removal of small calculi facilitated via episiotomy or transabdominal incision. This surgical video demonstrates a novel technique of transvaginal extraction of a large calculus utilizing an ear, nose, and throat (ENT) mallet and osteotomes.

Case

An 86-year-old female with urgency incontinence and limited mobility presented with obstipation and was found to have an 8.8 cm vaginal calculus. She had a history of prior vaginal mesh exposure after a mid-urethral sling that was managed expectantly without surgical resection. Cystourethroscopy and anoscopy excluded fistula. The calculus was extracted utilizing an ENT mallet and osteotomes in < 90 min, and no recurrent vaginal mesh exposure was identified.

Conclusion

An ENT mallet and osteotomes can be safely utilized to expedite extraction of a vaginal calculus.

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Title: Extraction of a large vaginal calculus utilizing an ear, nose, throat mallet and osteotomes
Authors: Kristen Buono
Paul Wadensweiler
Felicia Lane
Taylor Brueseke
Publication date: 01-01-2021
Publisher: Springer International Publishing
Keyword: Episiotomy
Published in: International Urogynecology Journal / Issue 1/2021
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-020-04437-8

At a glance: The STEP trials

Springer Medicine

Extraction of a large vaginal calculus utilizing an ear, nose, throat mallet and osteotomes

Abstract

Background

Case

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case

Conclusion

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