scholarly journals Vaginal Urinary Calculi Formation Secondary to Vaginal Mesh Exposure with Urinary Incontinence

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Kara M. Griffiths ◽  
Geoffrey D. Towers ◽  
Jerome L. Yaklic

Background. Vaginal stones may form in the setting of mesh exposure with urinary incontinence. This report serves to help understand the presentation, evaluation, and management of vaginal urinary stones.Case. A 68-year-old female presented with a vaginal calculus. She had a history of anterior and posterior polypropylene mesh placement for prolapse 7 years earlier and urinary incontinence. The stone was identified on a portion of exposed mesh and removed in office. Pathology confirmed urinary etiology. The exposed mesh resolved with topical estrogen. Cystourethroscopy excluded urinary fistula and bladder mesh erosion.Conclusions. When identified, a vaginal calculus should be removed and evaluated for composition. Cystourethroscopy should be performed to assess potential urinary tract fistulas and mesh erosion. Additional imaging should be considered.

2019 ◽  
Vol 18 (4) ◽  
pp. 557
Author(s):  
Mohamed M. Elawdy ◽  
Samer El-Halwagy ◽  
Yasser A. Razek ◽  
Abeer R. Alsenani ◽  
Sultan Almazroui

Matrix stones are a rare form of urinary calculi with a low mineral content. We report a 63-year-old female patient who presented to the Sohar Hospital, Sohar, Oman, in 2018 with unexplained left flank pain and constipation. She had a history of chronic renal failure (CRF) and had previously undergone haemodialysis (HD). Non-contrast computed tomography (CT) did not show any renal or urinary stones. However, a left-sided ureteroscopy revealed a yellow-coloured stone that was soft in consistency occupying the proximal 5 cm section of the ureter. Many attempts at forceps extraction were required for complete clearance. A global quantitative composition analysis revealed the extracted stone to be composed entirely of protein-matrix material. Matrix stones require a high index of suspicion as they are sometimes radiolucent and cannot be visualised on CT scans. Risk factors include being female and a history of urinary tract infections, CRF and HD.Keywords: Urolithiasis; Ureteral Calculi; Diagnostic Imaging; Ureteroscopy; Case Report; Oman.


Author(s):  
Yogesh Kumar Sharma ◽  
Umesh Kumar Gilhotra

Urolithiasis is the urinary disorder characterized by formation of stone in the urinary tract, urinary bladder and kidneys. Urolithiasis is considered to be a risk of urinary incontinence and may be associated with urinary incontinence. A urinary stone commonly occurs in males and are calculated on the basis of their mineral composition. Approximately 80% of urinary stones composed as calcium oxalate and calcium phosphate. Urinary calculi can cause disruption to the urinary system, hydrophoresis, infections and bleeding. Root stone formation is the result of several mechanisms. Whereas exceeding supersaturation (i.e. free stone formation) is the cause of uric acid or cystine calculi, infection stones result from bacterial metabolism. Renal calculi can be broadly classified in two large groups: tissue attached and unattached. Components in diet increase the risk of stone formation include low intake of fluid and animal protein, sodium, sugar and syrup high corn fruit, oxalate, grape juice, apple juice and cola drinks.   Vegetarian diets, spices and liquids may be helpful in treating and prevention and kidney stones. Therefore, the best way to prevent kidney stones is to consume a lot of water and a magnesium rich vegan. Common medications used to prevent urolithiasis do not work for all patients, and many have adverse effects that endanger their long-term use.  Managing today's urolithiasis with open renal surgery is unusual and rarely used, only by the introduction of Extracorporeal Shock wave lithotripsy (ESWL) is useful but it is expensive. Herbs and herbal medicines have created interest among people with its clinically proven effects such as immunomodulation and antimutagenic. Also, abusing synthetic drugs due to serious side effects of the drug has allowed humans to return to nature for safe treatment. Kew words: hydrophoresis, Urolithiasis


2014 ◽  
Vol 21 (1-2) ◽  
Author(s):  
Vendula Ambrožová ◽  
Josef Zeman

Urinary stones are generally products of pathological crystallization in the urinary tract. Their formation is influenced by many factors, such as genetic predisposition, age, stress, working environment or climate. They consist mainly of calcium oxalates and calcium phosphates. Formation of urinal stones was studied experimentally in laboratory. Solutions supersaturated with respect to the calcium oxalates and calcium phosphates were prepared by mixing stock solutions containing appropriate components (calcium, phosphate and oxalate ions). To simulate the conditions of urinary stones formation in real human urine the pH value of the solutions was adjusted with HCl and NaOH in the rage of 4.0 to 8.5 (pH range of normal human urine). After precipitation of solids, the solutions were sampled and analysed. Thermodynamic models were created to predict the theoretical conditions of urinary calculi formation. The results indicate that pH of solutions directly affects the aqueous speciation and, consequently, the formation of stones in the urinary tract. The comparison of results with human urine composition showed that urine of healthy human can contain higher amount of dissolved phosphates, oxalates or calcium substances than amount necessary for stones formation, but it may not lead to creation of urinary stones.


2020 ◽  
Vol 16 (01) ◽  
pp. 77-79
Author(s):  
Chhotan Kumar Ghosh ◽  
Subhasis Roy ◽  
Pradip Sarkar ◽  
Anil Singh

Urinary stones (urolithiasis) are a common condition responsible for lower urinary tract disease in dogs. The formation of calculi is associated with precipitation and crystal formation of a variety of minerals. Urinary calculi can damage the lining of the urinary tract, causing inflammation, which may predispose to bacterial infection. If calculi become lodged in the ureter, causing an obstruction, it may result in serious kidney damage. Unilateral ureteral obstruction may result in hydronephrosis with loss of function of the kidney. Urine retention may rupture the bladder with distension of the renal capsule (Tion et al., 2015 and Mudasir et al., 2018). So, an urgent cystotomy for removal of uroliths is the most commonly performed surgical procedure to save the life of the pets.


2020 ◽  
Vol 13 (12) ◽  
pp. e236280
Author(s):  
Ayesha Nusrat ◽  
Syed Muhammad Nazim

Malignant lymphomas of the prostate are very rare tumours and are generally not considered in the clinical or pathological diagnosis of prostatic enlargement. We report a case of a 56-year-old man who presented with long-standing history of low back pain and a 2-month history of voiding lower urinary tract symptoms. He denied any history of urinary retention, trauma, catheterisation or any constitutional symptoms. Examination revealed no lymphadenopathy and hepatosplenomegaly. Digital rectal examination showed an irregular, moderately enlarged nodular prostate. His prostate-specific antigen was 1.54 ng/mL. MRI of the pelvis did not show any focal lesion apart from abnormal signal intensity in the central zone. Bone scan was negative. Transrectal ultrasound-guided prostate biopsy revealed diffuse large B cell lymphoma. Bone marrow biopsy and whole body positron emission tomography/CT were unremarkable. The patient achieved complete remission after receiving six cycles of R-CHOP chemotherapy.


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