Immediate ureterovaginal fistula secondary to oocyte retrieval--a case report.
OBJECTIVE
To report a case of ureterovaginal fistula secondary to transvaginal oocyte retrieval (TVOR).


METHODS
Case report.


METHODS
IVF Center IN a private hospital.


METHODS
A 31-year-old woman presented immediately after TVOR with right lower abdominal pain with irradiation to the suprapubic area and vaginal discharge.


METHODS
Vaginal examination, creatinine dosage in plasma and vaginal discharge, excretory urography. A double-J catheter was inserted under general anesthesia.


METHODS
Clinical follow-up.


RESULTS
Vaginal leakage ceased a few hours after catheter insertion. Transfer of two embryos was performed 3 days after TVOR, but no pregnancy occurred. The double-J catheter was removed 21 days after its placement. Imaging studies done 6 weeks later demonstrated a normal urinary tract morphology.


CONCLUSIONS
Given the elective nature of TVOR and IVF, patients should be informed about all potential complications, including ureterovaginal fistula.
von Eye Corleta
Helena
H
Núcleo de Reprodução Humana do Hospital Moinhos de Vento-Gerar, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. hcorleta@portoweb.com.br
Moretto
Marcelo
M
D'Avila
Angela Marcon
AM
Berger
Milton
M
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007246:Infertility / Q000628:therapy*; D054315:Oocyte Retrieval / Q000009:adverse effects*; D017211:Treatment Failure; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D014567:Urography; D019522:Vaginal Discharge / Q000209:etiology; D014624:Vaginal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*