患者61岁,因尿频、尿急、尿失禁10多年就诊。腹部平片示膀胱区不透光影,类圆锥形,约9×8cm。静脉肾孟造影示双侧上尿路显影清晰,无积水,膀胱影因“结石”影响未能明确显示,X 线诊断为膀胱结石。B 超检查膀胱不充盈,准备插入导尿管充盈膀胱时发现尿道口缩入阴道前壁,阴道内结石经阴道内指诊,证实 X 线所示“膀胱结石”位于阴道内。于骶麻下经会阴侧切取出完整结石一枚,8×7×7cm,灰 61-year-old patient, due to frequent urination, urgency, incontinence more than 10 years treatment. Abdominal plain film shows the bladder area opaque, conical, about 9 × 8cm. Intravenous renal biopsy showed bilateral clear upper urinary tract development, no water, bladder shadow “stone ” effect failed to clearly show that X-ray diagnosis of bladder stones. B-check the bladder is not filled, ready to insert the bladder when filling the urethra urethra was found in the anterior vaginal wall shrinkage, vaginal calculus by vaginal endoscopy, confirmed X-ray “bladder stones” located in the vagina. In the sacral anesthesia by the episiotomy to remove the complete one stone, 8 × 7 × 7cm, gray