Urogynecology Expert Forum
Calcified Phleboliths within the Pelvis
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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Calcified Phleboliths within the Pelvis

HELLO. I WAS HOPING I CAN HAVE A EXPERT MEDICAL ANSWER.  I RECENTLY WENT TO THE UROLOGIST WITH COMPLAINTS OF FRECUENT URINARY INFECTIONS, AND THE ADVISE OF THE INTERNAL MEDICINE DOCTOR THAT I MUST OF PASSED  KIDNEY STONES.  I HAD GONE TO THE ER AND I HAD AN UTI AND THEY GAVE MY ANTIBIOTICS IN IV FORM, A TORADOL INYECTION AND THEY MADE A KUB AND THE KUB  MOST IMPORTANT FINDING WAS:  BILATERAL SUBCENTIMETER PELVIC CALCIFICATIONS. UROLITHIASIS HOWEVER CANNOT BE EXCLUDED.  ALSO TO CONSIDER A CT SCAN. I WENT TO THE UROLOGIST AND HE ORDER AN ADOMINAL (abdominal) PELVIC CT SCAN WITH AND WITH OUT CONTRAST.  THE MOST SIGNIFICANT FINDING WAS:  LEFT SIDED RENAL LITHIASIS.  BILATERAL ADNEXAL HYPODENSITIES, MOST LIKELY CONSISTENT WITH POLYCYSTIC OVARIES.  CALCIFIED PHLEBOLITHS ARE NOTED WITHIN THE PELVIS.

MY DOUBTS:

WHAT ARE CALCIFIED PHLEBOLITHS?  I READ THAT PHLEBOLITHS ARE CALCIFIED CONCRETIONS WITH A VEIN WALL AS A RESULT OF THROMBOSIS.  IS THIS CORRECT?  CAN YOU EXPLAIN WHAT THEY ARE AND IF THIS IS DANGEROUS OR IF I SHOULD DO AN IVP TO DISTINGUISH THEM FROM OTHER STONES? THIS IS NEW TO ME, LAST YEAR I GOT DONE A ABDOMINAL PELVIC CT SCAN AND THAT WASN"T THERE, BUT I"VE BEEN HAVING AMENOREAH AND I HAVE ALMOST ALWAYS HAD AN IRREGULAR MENSTRUAL CYCLE. I HAVE POLICYSTIC OVARIES.  THE LATEST SONOGRAM REVEALED THE FOLLOWING MEASUREMENTS:

UTERUS:  6.87CM X 4.37CM X 3.75CM
RT ADNEXA:  6.76CM X 2.63CM X 5.21CM = VOL 48.50CM
LT ADNEXA:  5.88CM X 2.88CM X 2.82CM = VOL 25.00CM
ENDOMETRIUM:  1.02CM

HOPE YOU CLEAR MY DOUBTS AND ANSWER MY QUESTIONS.  ANY MEDICAL ADVISE WILL BE GREATLY APPRECIATED.  THANK YOU.
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242593_tn?1313867921
Dear Lanoah,
Apologies, I jumped over your question in error, and missed it entirely. LEFT SIDED RENAL LITHIASIS. sounds like kidney stones, which can explain your recurrent UTI symptoms.  Calcified phleboliths are calcium deposits which can occur when palque in the veins harden over time. These are usually not dangerous, and are an incidental finding. You do not need an IVP, because the CT Urogram (CT with/without contrast)  which you had is probably a more definitive study. Your ovaries are enlarged, possibly related to Polycystic ovary syndrome. To get more detail on that problem, please visit the infertility/reproductive endocrinology site at medhelp.

Again, I am sorry for missing your question..

Dr. Hoyte
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PLEASE HELP ME.
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I AM ANXIOUSLY WAITING THAT YOU BE SO KIND AND ANSWER MY MEDICAL QUESTIONS.
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THANK YOU VERY MUCH FOR ANSWERING MY QUESTIONS.
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A related discussion, What are phleboliths was started.
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