A diagnostically challenging case of ureterovaginal fistula after laparoscopic hysterectomy.
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.
Giannarini
Gianluca
G
Department of Urology, University of Bern, Bern, Switzerland.
Borkowski
Tomasz
T
Schmid
Olaf
O
Burkhard
Fiona C
FC
Studer
Urs E
UE
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