title: Immediate ureterovaginal fistula secondary to oocyte retrieval--a case report.
abstract: 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.
authors.affiliation: Núcleo de Reprodução Humana do Hospital Moinhos de Vento-Gerar, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. hcorleta@portoweb.com.br
authors.forename: Helena
authors.initials: H
authors.lastname: von Eye Corleta
authors.forename: Marcelo
authors.initials: M
authors.lastname: Moretto
authors.forename: Angela Marcon
authors.initials: AM
authors.lastname: D'Avila
authors.forename: Milton
authors.initials: M
authors.lastname: Berger
mesh_terms: 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*