Vaginal Cystolithotomy (Sectio Alta) on a Pelvic Organ Prolapse and Multiple Vesicolithiasis patient

Vesical calculi are not commonly seen with pelvic organ prolapse. We report a case of a 66 years old multiparous woman, who presented with history of vaginal mass in the last 8 years. The mass had been irreponible for 3 years. She also complain on difficulty while voiding for 3 years Gritty sensation was felt on palpating the cystocele and multiple calculi were suspected pre-operatively. A transvaginal hysterectomy was done followed by vaginal cystolithotomy (sectio alta). However, due to an irreponible vaginal mass and consideration of no further sexual activity desire, we proceed with total colpocleisis.