[Uretero-uterine fistula as complication of the cesarean section].
26 y.o woman 3 weeks after cesarean section complained of urine leakage from vagina. Urography revealed uretero-uterine fistula. Surgery was performed--3 dexon sutures attaching strictured ureter to the uterine were localized and then cut off. Distally obliterated ureter was separated out of adjacent tissues. The strictured part of ureter was then incised on the length of ca 8 cm, pig tail catheter was induced and human dura mater allograft was put on and sewed in into the strictured segment. In the long term follow-up the woman gave birth to two more children in the vaginal delivery without any complications. Urographies revealed no fistula, no stricture recurrency and normal urine passage.
Koziak
Andrzej
A
Wojewódzki Szpital Specjalistyczny, Siedlcach.
Marcheluk
Adam
A
Szcześniewski
Ryszard
R
Dorobek
Adam
A
Kania
Piotr
P
Dmowski
Tadeusz
T
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D013997:Time Factors; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014547:Urinary Diversion; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology; D014567:Urography; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016064:Vaginal Birth after Cesarean