title: A diagnostically challenging case of ureterovaginal fistula after laparoscopic hysterectomy.
abstract: A complicated case of iatrogenic ureterovaginal fistula in a 56-year-old woman after laparoscopic-assisted vaginal hysterectomy, which persisted after several attempts of repair including ureterocystoneostomy, is presented. Accurate radiologic work-up enabled us to identify a refluxing ureteral stump, which was not ligated at the time of ureterocystoneostomy, as the origin of urinary leakage. Surgical principles that should be adhered to when managing such complex cases to obtain successful long-lasting outcome are described.
authors.affiliation: Department of Urology, University of Bern, Bern, Switzerland.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Giannarini
authors.forename: Tomasz
authors.initials: T
authors.lastname: Borkowski
authors.forename: Olaf
authors.initials: O
authors.lastname: Schmid
authors.forename: Fiona C
authors.initials: FC
authors.lastname: Burkhard
authors.forename: Urs E
authors.initials: UE
authors.lastname: Studer
mesh_terms: D003937:Diagnosis, Differential; D004564:Electrocoagulation; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy; D008595:Menorrhagia / Q000601:surgery; D008796:Metrorrhagia / Q000601:surgery; D008875:Middle Aged; D011859:Radiography; D014515:Ureteral Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014548:Urinary Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014624:Vaginal Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging