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Rock development ended up being probably be the result of urinary pooling due to incontinence, that was brought on by a neurogenic bladder. Other contributing factors were prolonged recumbency, threads of an intrauterine device and a UTI. The clear presence of a vesicovaginal fistula had been omitted by testing with methylene azure. The rock had been operatively removed and composed of 70% struvite and 30% apatite. The patient ended up being treated for decubitu