eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2017-09-28 5 9 254 255 10.12691/ajmcr-5-9-8 AJMCR2017598 article Trika Irianta trika_irianta@yahoo.com 1 Elisabeth Tanuwidjaja 1 Department of Obstetrics & Gynecology, Urogynaecology & Pelvic Reconstructions Division, University of Hasanuddin, Makassar-Indonesia Vesical calculi are not commonly seen with pelvic organ prolapse. We report a case of a 64 years old multiparous woman, who presented with history of vaginal mass in the last 2 years. Gritty sensation was felt on palpating the cystocele and multiple calculi were suspected intraoperatively. A transvaginal hysterectomy was done followed by vaginal cystolithotomy, an anterior colporrhapy and posterior colpoperineorrhapy (Mc call culdoplasty technique). Multiple vesical calculus was removed. Post-operative course was unremarkable. http://pubs.sciepub.com/ajmcr/5/9/8/ajmcr-5-9-8.pdf vesical calculi pelvic organ prolapse vaginal cystolithotomy