The Journal of Minimally Invasive Gynecology
Volume 15, Issue 2 , Pages 209-211, March 2008

A Diagnostically Challenging Case of Ureterovaginal Fistula After Laparoscopic Hysterectomy

Department of Urology, University of Bern, Bern, Switzerland.

Received 11 July 2007; accepted 15 September 2007.

Abstract 

A complicated case of iatrogenic ureterovaginal fistula in a 56-year-old woman after laparoscopic-assisted vaginal hysterectomy, which persisted after several attempts of repair including ureterocystoneostomy, is presented. Accurate radiologic work-up enabled us to identify a refluxing ureteral stump, which was not ligated at the time of ureterocystoneostomy, as the origin of urinary leakage. Surgical principles that should be adhered to when managing such complex cases to obtain successful long-lasting outcome are described.

Keywords: Hysterectomy, vaginal, Surgical procedures, laparoscopic, Vaginal fistula, Urinary fistula, Postoperative complications, Diagnosis, differential

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 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

 Available at www.sciencedirect.com and www.jmig.org

PII: S1553-4650(07)01066-7

doi:10.1016/j.jmig.2007.09.008

The Journal of Minimally Invasive Gynecology
Volume 15, Issue 2 , Pages 209-211, March 2008

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