PMID: 9449293Jan 1, 1997Paper

Use of endoscopy in the management of postoperative ureterovaginal fistula

International Urogynecology Journal and Pelvic Floor Dysfunction
S ElabdA Elshaer

Abstract

The aim of the study was to evaluate endourological techniques in the management of iatrogenic ureterovaginal fistula. Seventeen patients referred to us after gynecologic surgery were diagnosed as having iatrogenic ureterovaginal fistula. First, retrograde double-J stenting was tried. If this failed, percutaneous nephrostomy using an antegrade double-J stent was performed. If this also failed, open surgical repair was performed. The retrograde double-J stent bypassed the fistula in 2 patients (11.8%). Percutaneous nephrostomy was performed in the remaining 15. The antegrade double-J stent bypassed the fistula in another 2 of these patients (11.8%). Open surgical repair was performed in the remaining 13 patients (67.5%) (direct ureteroneocystostomy) with nipple valve in 11 patients and Boari flap with psoas hitch in 2 patients). Of all patients, 2 had ureteral stricture, one after antegrade double-J stenting and the other after open repair. It was concluded that early intervention is recommended in the treatment of iatrogenic uretrovaginal fistula, causing minimal morbidity and discomfort, and being less expensive.

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Citations

Apr 4, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Shwu-Shiuang ChenWen-Chen Huang
Oct 25, 2012·International Urogynecology Journal·N RajamaheswariK Seethalakshmi
Mar 26, 2013·International Urogynecology Journal·Akwasi A BoatengAyman Mahdy
Jan 20, 1999·Journal of Clinical Laser Medicine & Surgery
Dec 19, 2013·International Urogynecology Journal·J ShawJ E Jelovsek
Aug 27, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Shicheng YuZhigen Zhang
Feb 22, 2017·Urology Annals·S B PatilKshitiz Ranka
Mar 11, 2015·Urologia·Giovanni Muzzonigro, Flavia Tombolini
Jul 17, 2009·Current Opinion in Obstetrics & Gynecology·Matthew J AungstJohn R Fischer
Feb 27, 2019·Female Pelvic Medicine & Reconstructive Surgery·Yufan Brandon ChenElizabeth R Mueller
Nov 27, 2015·Arab Journal of Urology·Ahmed S El AbdSamir El-Gamal
Dec 10, 1998·Journal of Endourology
Nov 12, 2020·International Urogynecology Journal·Seyed Mohammadreza Rabani, Seyedhossein Rabani

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