[Iatrogenic ureteral injury and the development of vesico-vaginal fistula: a complication of total hysterectomy for multiple myoma uteri].
A 42-year-old woman underwent total hysterectomy for multiple myoma uteri. Postoperatively the patient complained of lower abdominal pain and total incontinence. She had also developed left-sided hydronephrosis. Left nephrostomy was constructed and necessary investigations were done. It was diagnosed as a case of left ureteral injury with vesico-vaginal fistula. Repair of vesico-vaginal fistula and reimplantation of the left ureter were performed in a single setting three months after the injury. Subsequently, the nephrostomy was removed. Hydronephrosis was improved with an excellent outcome of fistula repair.
Sakai
Hiromasa
H
Department of Urology, Shinshu University School of Medicine.
Kato
Haruaki
H
Kobayashi
Shinya
S
Nishizawa
Osamu
O
D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000328:Adult; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000628:therapy; D007044:Hysterectomy; D007049:Iatrogenic Disease; D007889:Leiomyoma / Q000601:surgery*; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D009403:Nephrostomy, Percutaneous; D016896:Treatment Outcome; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy; D014594:Uterine Neoplasms / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000601:surgery