title: A refined combined antero-retrograde approach for the resolution of a complex ureterovaginal fistula: an endourologic case report.
abstract: he onset of a ureterovaginal fistula is a not frequent, though it represents a dreaded and disabling complication of the pelvic surgery. The literature suggests to perform ureteroneocystostomy associated, if necessary, with a bladder suspension technique to Psoas muscle, or endoscopic procedures of ureteral stenting as the "gold standard" to repair this condition. We describe an innovative combined anterograde trans-nephrostomic and retrograde trans-ureteral surgical approach successfully carried out for the treatment of a rare ureterovaginal fistula associated with ipsilateral hydroureteronephrosis secondary to a complete obliteration of the ureteral orifice. We believe that this approach could be considered as a minimally invasive surgical option, an alternative to the traditional ones, for the repair of ureterovaginal fistulae complicated by a complete obliteration of the ipsilateral ureteral meatus.
authors: University of L'Aquila, Health Sciences Department, Tomassi Square, Italy. stefano.masciovecchio@virgilio.it
authors: Stefano
authors: S
authors: Masciovecchio
authors: Giuseppe
authors: G
authors: Paradiso Galatioto
authors: Pietro
authors: P
authors: Saldutto
authors: Alessandro
authors: A
authors: Del Rosso
authors: Ezio Domenico
authors: ED
authors: Di Pierro
authors: Carlo
authors: C
authors: Vicentini
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D014515:Ureteral Diseases / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods; D014624:Vaginal Fistula / Q000601:surgery*