Journal of Pediatric and Adolescent Gynecology
Volume 23, Issue 1 , Pages e23-e25, February 2010

Vaginal Stones in a 5-Year-Old Girl: A Novel Approach of Removal

  • Judith W. Jaspers, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Catharina Hospital, Eindhoven, the Netherlands
    • Corresponding Author InformationAddress correspondence to: Judith W. Jaspers, MD, Department of Obstetrics and Gynecology, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands.
    • ,
  • Simone M. Kuppens, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Catharina Hospital, Eindhoven, the Netherlands
    • ,
  • Andre A. van Zundert, MD, PhD

      Affiliations

    • Department of Anesthesiology, ICU and Pain Therapy, Catharina Hospital, Eindhoven, the Netherlands
    • ,
  • Michel J. de Wildt, MD, PhD

      Affiliations

    • Department of Urology, Catharina Hospital, Eindhoven, the Netherlands

published online 30 July 2009.

Abstract 

Background

Primary vaginal stones in children are extremely rare and removal can be difficult. We describe a procedure for safe extraction of vaginal stones.

Case

A 5-year-old, wheelchair-bound girl was referred to the urologic department with recurrent febrile urinary tract infection. Diagnostics of the kidneys showed no abnormalities. The bladder appeared to contain two stones. On urethro-cystoscopy no stones were seen. Vaginoscopy identified vaginal stones. After 4 weeks of estrogen treatment, a second procedure via vaginal introduction of a nephroscope in combination with an ultrasonic device, effectively disintegrated the stones.

Summary and Conclusion

We recommend the use of a nephroscope in visualizing the vagina and cervix and facilitating instrumentation in prepubertal girls.

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PII: S1083-3188(09)00190-9

doi:10.1016/j.jpag.2009.05.006

Journal of Pediatric and Adolescent Gynecology
Volume 23, Issue 1 , Pages e23-e25, February 2010

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