Ureterovaginal fistula is an uncommon but serious sequela of unrecognized distal ureteral injury during pelvic operations. Traditionally, it is managed either by endoscopic internal ureteral stenting or by ureteral reimplantation. We report a case of ureterovaginal fistula that failed to respond to ureteral stenting. Because the patient had a history of several laparotomies and intra-abdominal abscesses, she was at high risk for complications with a transabdominal operation. Therefore, we used transvaginal Latzko partial colpocleisis and successfully resolved the ureterovaginal fistula.
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http://dx.doi.org/10.1007/s00192-007-0374-0 | DOI Listing |
Cureus
December 2024
Obstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, UGA.
Background Ureterovaginal fistulae usually follow iatrogenic injury to the ureter during pelvic surgery. This manifests as urine incontinence and results in serious psychosocial effects on women. Ureterovaginal fistulae unlike vesicovaginal fistulae present challenges in diagnosis and management especially in resource-constrained settings.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
December 2024
Department of Obstetrics and Gynecology (Kim), Dongwon Cancer Specialized Care Hospital, Goyang-si, Gyeonggi-Do, Republic of Korea.
J Surg Case Rep
November 2024
Department of Embryology, Faculty of Medicine, University of Thessaly, Larissa, 41500, Greece.
Cureus
October 2024
Department of Surgical Oncology, Star Hospitals, Hyderabad, IND.
Background Laparoscopic hysterectomy is a substitute for the abdominal hysterectomy technique for endometrial carcinoma. Goel's technique is a unique laparoscopic hysterectomy. The main feature of Goel's technique is that vaginal manipulators or myoma screws are not used in the procedure as vaginal manipulators or myoma screws contribute to an increased risk of spread of malignancy in the systemic circulation.
View Article and Find Full Text PDFSAGE Open Med Case Rep
October 2024
Department of Obstetrics and Gynecology, Community Based Rehabilitation in Tanzania, Dar es Salaam, Tanzania.
This case report presents the clinical journey of a 28-year-old nulliparous woman from Dar es Salaam, Tanzania, who sought medical attention due to lifelong urinary leakage since birth, profoundly impacting her emotional well-being and sexual encounters. Clinical examination revealed urinary leakage from the vagina, with unremarkable abdominal and genital findings. Laboratory investigations were normal.
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