Introduction And Hypothesis: A retrospective study was done from January 2008 to January 2011 to analyze the outcome of ureterovaginal fistula management in relation to intervention mode.
Patients And Methods: Eighteen patients who developed ureterovaginal fistulae following gynecological and obstetric procedures were studied. Ureteroscopic stenting was attempted in 17 cases, and one patient electively underwent ureteral reimplantation.
Results: Ureteroscopic stenting was successfully accomplished in 13 of 17 patients; four patients underwent ureteral reimplantation, as stenting was not feasible. The success rate was 100 % at a mean follow-up of 24.6 months, irrespective of modality.
Conclusion: The majority of iatrogenic ureterovaginal fistulae can be successfully managed by ureteroscopic stenting. Our study also suggests that ureteroscopic stenting should be considered as the primary mode of intervention in all cases. Ureteral reimplantation is required and remains practicable when stenting turns out to be impossible.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00192-012-1959-9 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Percutaneous nephroscopy combined with ultrasound-guided negative-pressure suction for the treatment of perirenal hematoma.
Medicine (Baltimore)
December 2024
Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Yuzhong, Chongqing, People's Republic of China.
Percutaneous renal puncture drainage is needed in patients with perirenal hematoma (PRH, renal around hematoma) with poor conservative treatment. Early and thorough removal of hematoma is closely related to the recovery of patients, but percutaneous renal drainage is not effective in some patients. The clinical data of 5 patients with PRH treated in the first affiliated Hospital of Chongqing Medical University from June 2020 to June 2024 were analyzed retrospectively.
View Article and Find Full Text PDFSmall Diameter (7.5 Fr) Single-Use Flexible Ureteroscopy with Direct In-Scope Suction (DISS) in Conjunction with Aspiration-Assisted Flexible Access Sheath: A New Hype for Real Stone-Free?
J Clin Med
November 2024
Department of Urology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
: Renal lithiasis continues to represent a great challenge for modern urology in terms of minimally invasive management of lithotripsy procedures. The recent revolution of endoscopes with the miniaturization of instruments and the development of improved disposable ureteroscopes combined with recent suction methods such as suction access sheaths or direct in-scope suction (DISS) systems promise to further improve the outcome of renal stone treatment. : Considering this technological advance, this study aims to evaluate the results obtained by combining these methods in three groups: Group 1-Single-use 7.
View Article and Find Full Text PDFStent Omission after Ureteroscopy and Lithotripsy (SOUL) in the Michigan Urological Surgery Improvement Collaborative (MUSIC): study protocol for a pragmatic prospective combined randomized and observational clinical trial.
Trials
December 2024
Department of Urology, University of Michigan, Ann Arbor, MI, USA.
Article Synopsis
- - Ureteral stents are commonly used after ureteroscopy to prevent complications from kidney stones, yet they can cause significant pain and urinary issues, which has led to calls for their omission in many cases.
- - Guidelines support not using stents in uncomplicated surgeries, but over 80% of procedures still involve them, partly due to insufficient evidence about their impact on pain and patient outcomes.
- - A new study is being conducted where patients randomly choose whether to have a stent or not, while those who refuse randomization will be observed based on the doctor's decision, aiming to gather real-world data on the effectiveness of stent omission.
Safety and effectiveness of preoperative stenting compared to non-stenting in ureteroscopy for urinary stone disease: a meta-analysis of comparative studies.
World J Urol
December 2024
Department of Urology, General Hospital of Mexico, Mexico City, Mexico.
Article Synopsis
- Ureteroscopy (URS) is a common surgical method for treating urinary stones smaller than 2 cm, and the use of preoperative stenting (PS) is debated regarding its benefits and outcomes compared to not using it (NPS).
- A comprehensive analysis of 23,668 patients from various studies found that PS led to higher stone-free rates (SFR) and lower rates of complications during and after surgery, particularly when flexible URS was used.
- Overall, PS appears to improve surgical outcomes without increasing complications, suggesting a need for further research on its cost-effectiveness and impact on patient quality of life.
Introduction: Horseshoe kidney is often associated with ureteropelvic junction obstruction and nephrolithiasis. Retrograde intrarenal surgery (RIRS) is becoming one of the main treatment options for large stones in such patients.
Aim: To study the results of RIRS in patients with horseshoe kidney.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!