A new method for trans-vaginal extraction of an impacted vaginal calculus: A case report.

Introduction: Vaginal stones are a rare pathology, with no clear guidelines on management and optimal removal techniques.

Presentation Of Case: We report a novel surgical technique, leading to safe transvaginal extraction of the largest reported impacted vaginal stone. In this case we removed an 11 cm struvite stone transvaginally from a 46 year old patient. This was achieved by hollowing it out with surgical drills, allowing safe collapse of the outer cortex and complete removal.

Discussion: Our technique allowed for the safe, minimally invasive removal of the largest stone to be reported so far in the literature, preventing further complications for the patient. A full description of our technique is outlined to allow other clinicians utilisation of this for similar cases in the future.

Conclusion: Future vaginal calculi could be managed using this technique, preventing the need for laparotomy or vaginal trauma.