Ureterovaginal fistula: summary of 18 years' experience.
Ureterovaginal fistula is an uncommon complication of pelvic operations. We report 31 such cases seen over an 18-year period, all of which followed surgery for benign gynaecological conditions. Most patients had no urinary symptoms until the sudden onset of incontinence 1 to 4 weeks post-operatively. Diagnosis was established by a combination of intravenous urography, cystography, cystoscopy, retrograde ureteropyelography and dye studies. Twenty-nine patients underwent ureteroneocystostomy, 10 with a Boari flap and 19 by a direct method; fistulas healed in 2 patients following conservative treatment. Renal salvage was achieved in all cases.
Mandal
A K
AK
Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Sharma
S K
SK
Vaidyanathan
S
S
Goswami
A K
AK
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D013997:Time Factors; D014513:Ureter / Q000601:surgery; D014515:Ureteral Diseases / Q000209:etiology*; D001743:Urinary Bladder / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery; D014624:Vaginal Fistula / Q000209:etiology* / Q000601:surgery