[Fistula between the bladder and vagina and perforation after implantation of a wall stent for ureteral stricture].
The implantation of metal stents in the ureter is an alternative therapeutic option for treating ureteral strictures of different origins. We report the case of a female patient who was treated with a ureteral wall stent because of stenosis caused by radiotherapy. Subsequently the stent migrated into the bladder and led to incrustation and stone formation. This finally led to development of a vesicovaginal fistula and bladder perforation into the os pubis.
Klinik für Urologie, Klinikum Region Hannover GmbH, Krankenhaus Siloah, Roesebeckstrasse 15, 30449, Hannover, Deutschland. sille.meyer@gmx.de
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S
Meyer
M
M
Fahlbusch
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WF
Thon
D018784:Abdominal Abscess / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000368:Aged; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006869:Hydronephrosis / Q000628:therapy; D007091:Image Processing, Computer-Assisted; D009403:Nephrostomy, Percutaneous; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011630:Pubic Bone / Q000293:injuries / Q000473:pathology / Q000601:surgery; D011631:Pubic Symphysis / Q000293:injuries / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D019233:Retreatment; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000628:therapy*; D001743:Urinary Bladder / Q000293:injuries / Q000473:pathology / Q000601:surgery; D001744:Urinary Bladder Calculi / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery