Ureterovaginal fistula after laparoscopic hysterectomy: A case report.

Asian J Surg

Department of Obstetrics and Gynecology, The Affiliated Hospital of Jining Medical University, Jining, 272029, Shandong Province, China. Electronic address:

Published: July 2023

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http://dx.doi.org/10.1016/j.asjsur.2023.01.044DOI Listing

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Objective: This study aims to perform a systematic review and meta-analysis to compare the incidence of specific postoperative urologic complications, such as vesicovaginal fistula and ureterovaginal fistula, in patients undergoing minimally invasive radical hysterectomy (MIRH) versus abdominal radical hysterectomy (ARH) for early-stage cervical cancer.

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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.
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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.

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