| UROLOGICAL IMAGE |
|
| Year : 2023 | Volume
: 39
| Issue : 2 | Page : 163-164 |
|
|
Hourglass appearance in cystocele with an impacted vesical calculus
Manickam Ramalingam, Senthil Kallappan, MN Janani
Department of Urology, Hindusthan Hospital, Coimbatore, Tamil Nadu, India
Correspondence Address:
Manickam Ramalingam
Department of Urology, Hindusthan Hospital, Coimbatore, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/iju.iju_20_23
|
|
|
A 62-year-old hypertensive female presented with a mass protruding from the vagina for the past 20 years. She complained of dysuria and urinary incontinence for the past 3 months. There was no history of surgical intervention in the past. The examination revealed a tender irreducible total uterine prolapse (procidentia) and cystocele with a decubitus ulcer. Computed tomography urogram showed a total uterine prolapse along with the prolapse of a part of urinary bladder, with a vesical calculus of size 2.8 cm × 2.7 cm in the prolapsed part of the bladder, below the level of the pubic symphysis, with minimal wall thickening. After optimization, vesical lithotripsy and bilateral ureteric stenting were performed, followed by hysterectomy after 2 days. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
