The changing management of ureterovaginal fistulas.
A retrospective review of 20 ureterovaginal fistulas in 19 patients treated within the last 20 years was done. All fistulas developed after gynecological procedures. The ureterovaginal fistulas resolved in all 7 patients in whom a self-retaining internal stent was placed in either a retrograde (5) or antegrade (2) manner for a minimum of 4 to 8 weeks. In contrast to the literature, it is concluded that modern endourological treatment will result in resolution of a ureterovaginal fistula if passage of a suitable internal stent is feasible. Every effort should be made to treat a ureterovaginal fistula endourologically rather than resort to an open operation.
Selzman
A A
AA
Department of Urology, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Spirnak
J P
JP
Kursh
E D
ED
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012189:Retrospective Studies; D015607:Stents; D014515:Ureteral Diseases / Q000601:surgery*; D018666:Ureteroscopy; D014548:Urinary Fistula / Q000601:surgery*; D014624:Vaginal Fistula / Q000601:surgery*