Ureteroscopy: a new asset in the management of postoperative ureterovaginal fistulas.
Iatrogenic ureteral injury, an uncommon entity, is primarily caused by complications of gynecologic surgery. This report describes a case of ureterovaginal fistula discovered 13 days after a vaginal hysterectomy. Ureteroscopy was performed, with passage of an indwelling ureteral stent for 6 weeks. The patient immediately became continent of urine and the fistula healed, thus avoiding the need for further surgery.
Koonings
P P
PP
Department of Obstetrics and Gynecology, University of Southern California, School of Medicine, Los Angeles.
Huffman
J L
JL
Schlaerth
J B
JB
D000328:Adult; D004724:Endoscopy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007049:Iatrogenic Disease; D011183:Postoperative Complications / Q000628:therapy*; D015607:Stents; D013997:Time Factors; D014515:Ureteral Diseases / Q000209:etiology / Q000628:therapy*; D014548:Urinary Fistula / Q000209:etiology / Q000628:therapy*; D014624:Vaginal Fistula / Q000209:etiology / Q000628:therapy*