Ureterovaginal fistula (UVF) is a challenging problem for patients and doctors, especially in patients who have been treated by radiation for malignancy. UVF may occur in conjunction with surgeries involving the uterus. A success rate of 70-100% has been reported for fistula repair with the best results in non-radiated patients. Meanwhile, conservative treatment using ureteral stents in selected patients has resulted in reported success rates of 71%. We present the case of a 24-year-old woman with UVF due to surgery and radiotherapy for cervix cancer. The patient has been successfully treated with the insertion of a Memokath 051 stent (PNN Medical A/S, Denmark), which is a thermoexpandable, nickel-titanium alloy stent. The patient has been totally continent during a follow-up period of 3 years. The Memokath stent has been changed twice within this period due to dysfunction.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275732 | PMC |
http://dx.doi.org/10.1136/bcr-2014-207854 | DOI Listing |
J Minim Invasive Gynecol
December 2024
Department of Obstetrics and Gynecology, Dongwon Cancer Specialized Care Hospital, ILSANRO 439 ILSANDONG-GU GOYANG CITY, GYEONGGI-DO, 10359, 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.
View Article and Find Full Text PDFQuant Imaging Med Surg
August 2024
Department of Ultrasound, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!