Treatment of ureterovaginal fistula using a Memokath stent.

BMJ Case Rep

Department of Urology, Roskilde Hospital, Roskilde, Denmark.

Published: December 2014

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/PMC4275732PMC
http://dx.doi.org/10.1136/bcr-2014-207854DOI Listing

Publication Analysis

Top Keywords

ureterovaginal fistula
8
memokath stent
8
treatment ureterovaginal
4
fistula memokath
4
stent
4
stent ureterovaginal
4
fistula uvf
4
uvf challenging
4
challenging problem
4
patients
4

Similar Publications

Postoperative Urinary Complications in Minimally Invasive vs. Abdominal Radical Hysterectomy: A Meta-Analysis with a Focus on Ureterovaginal Fistula.

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.

Article Synopsis
  • This study compares postoperative urologic complications between minimally invasive radical hysterectomy (MIRH) and abdominal radical hysterectomy (ARH) in early-stage cervical cancer patients.
  • A systematic review of 35 studies found that MIRH is linked to a significantly higher risk of complications, especially ureterovaginal fistula.
  • The findings suggest a need for careful patient selection and potential improvements in surgical techniques to minimize these risks.
View Article and Find Full Text PDF
Article Synopsis
  • A 43-year-old woman developed both UVF and VVF after a total hysterectomy and initially tried conservative treatment, which didn't work.
  • She then underwent a successful surgical procedure to correct the issues and has remained symptom-free for a year, highlighting the importance of recognizing and managing these rare fistula formations effectively.
View Article and Find Full Text PDF

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 PDF

Congenital ureterovaginal fistula and a duplicated left ectopic ureter: A rare case in Tanzania.

SAGE 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 PDF

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!