Entrapped Urinary Calculi in Iatrogenically Created Vaginal Pocket During Robotic Repair of Vesicovaginal Fistula

Primary vaginal calculi exist as an extremely rare topic discussed only through a handful of case reports. Based on the cases studied, it was reported that they have an association with urethral diverticulum, urogenital sinus anomalies, urogenital fistula or with utilization of transvaginal urethral slings. We present a case of an incidental finding of multiple vaginal calculi impacted in the proximal vagina in an iatrogenically created pocket after a failed Latzko procedure which were later discovered during a robotically assisted laparoscopic vesicovaginal fistula (VVF) repair by the extravesical approach. This is the first reported incident of multiple vaginal calculi associated with iatrogenically created intravaginal pocket after Latzko procedure.