Transvaginal ureteroneocystostomy.

Urol Case Rep

Wake Forest University School of Medicine, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, One Medical Center Blvd, Winston-Salem, NC, 27157, USA.

Published: November 2023

AI Article Synopsis

  • - Ureteral injury can happen during gynecologic surgeries and may lead to long-term health issues.
  • - Traditionally, significant ureteral injuries are treated with a transabdominal re-implantation, but this case reports on a new method using a transvaginal approach.
  • - In this case, a ureter was transected during pelvic organ prolapse surgery, but the transvaginal repair (ureteroneocystostomy) was successful with no complications in the following 6 months.

Article Abstract

Ureteral injury is a known complication of gynecologic surgery with potential long-term sequelae. Traditional management of significant ureteral injury recognized at the time of transvaginal pelvic organ prolapse repair is a transabdominal re-implantation procedure using a transabdominal open or laparoscopic approach. We present a case describing a transvaginal approach for ureteroneocystostomy. During a transvaginal pelvic organ prolapse repair, a ureteral transection was noted. A transvaginal ureteroneocystostomy was performed. There was primary healing of the ureteroneocystostomy without sequelae during a 6-month follow-up period.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518570PMC
http://dx.doi.org/10.1016/j.eucr.2023.102558DOI Listing

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