title: Ureterovaginal fistula following laparoscopic assisted vaginal hysterectomy: case report.
abstract: Ureterovaginal fistula following laparoscopic assisted vaginal hysterectomy is reported. The injury was missed in the immediate post-operative period. There was delay in urological consultation. The patient later developed a ureterovaginal fistula which was repaired successfully with a ureteroneocystostomy four months later after the patient was seen in several hospitals. This case is reported to highlight one of the serious complications of laparoscopic surgery that can go unnoticed. The causes of ureteral injuries in laparoscopic surgery, prevention and management protocols are discussed.
authors.affiliation: Thika District Hospital, P.O. Box 6117-01000, Thika, Kenya.
authors.forename: C G
authors.initials: CG
authors.lastname: Waihenya
mesh_terms: D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D018570:Risk Assessment; D012307:Risk Factors; D014513:Ureter / Q000293:injuries*; D014548:Urinary Fistula / Q000209:etiology*; D014624:Vaginal Fistula / Q000209:etiology*; D014719:Vesicovaginal Fistula / Q000209:etiology*