Ureterovaginal fistula formation after oocyte retrieval.
Transvaginal ultrasound-guided oocyte retrieval is generally a safe and well-tolerated procedure that is usually associated with few overall complications (less than 5%), including mild vaginal hemorrhage and infection. Injury to the ureter during oocyte retrieval has only been reported in 6 cases to date. We report a case of ureterovaginal fistula that formed approximately 7 days after oocyte retrieval. A percutaneous nephrostomy tube was placed using ultrasound guidance, and the fistula was allowed to close secondarily. Although a rare complication, physicians should be conscious of this type of injury after oocyte retrieval so that prompt diagnosis and treatment can be pursued.
Mongiu
Anne K
AK
Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611-3008, USA.
Helfand
Brian T
BT
Kielb
Stephanie J
SJ
D000328:Adult; D005260:Female; D006801:Humans; D054315:Oocyte Retrieval / Q000009:adverse effects*; D014515:Ureteral Diseases / Q000209:etiology*; D014548:Urinary Fistula / Q000209:etiology*; D014624:Vaginal Fistula / Q000209:etiology*