A 52 years old postmenopausal woman presented with a uterovaginal prolapse which was irreducible. My Assistant Professor saw her and called me. She had a third degree uterine prolapse and a large cystocele. The cystocele was quite tender to touch, and stony hard. There was a 3 cm diameter stony hard mass withing the prolapse bladder.
"This is a case of bladder stone that has developed due to prolonged retention of residual urine in the cystocele" I said.
"It did feel hard" he said.
"If we reduce it, the bladder wall will get traumatized" I said. "We have to remove the bladder stone first. Then the infection associated with it can be cleared. Only then we can treat the prolapse."
The urologists wanted a radiograph of the kidney-ureter-bladder area (KUB). The area of interest is shown in the photograph in this post. The laminated appearance of the stone is quite clear.