Laparoscopic ureteral reimplantation for ureteral lesion secondary to transvaginal ultrasonography for oocyte retrieval

Immediate ureterovaginal fistula secondary to oocyte retrieval—a case report

“…In two cases, adhesions from endometriosis, laparoscopic pelvic surgery, or repeated ovarian punctures could have made more likely the ureteral trauma by reducing the mobility of nearby organs (12,13). The present case had no previous pelvic or abdominal surgical procedures, except for a diagnostic laparoscopy that confirmed normal pelvic anatomy.…”

“…Only one case is cited in a large series of TVOR procedures (8), and six case reports are found in the literature (3,4,6). Most of the cases were managed conservatively, with ureteral stenting (4, 6, 8, 11) or a nephrostomy tube (12), but two cases underwent ureterovesical reimplantation, either open or laparoscopic (13).…”

“…The clinical presentation of a post-TVOR ureteral injury may include lower abdominal and flank pain, suprapubic pain, and irritative urinary symptoms, eventually accompanied by nausea and vomiting (3,4,6,13) Fever may be a presenting sign (6,13). Abdominal examination may reveal lower abdominal tenderness, involuntary guarding, and slight signs of peritoneal irritation (3,4,6,13).…”

“…Abdominal examination may reveal lower abdominal tenderness, involuntary guarding, and slight signs of peritoneal irritation (3,4,6,13). The beginning of symptoms is variable, ranging from some hours to a few months (6,12).…”

Embryo Transfer and Oocyte Pick Up Related Complications of In Vitro Fertilization

“…Üre-ter basısı kendini hidronefroz ve yan ağrısı ile gösterecektir. 21 Bu durumda BT ya da USG ile hidronefrozun teyid etmek, mümkünse üreteral katater yerleştirmek, yapılamıyorsa nefrostomi takmak gerekecektir. Eğer bası yapan oluşum (hematom, abse) izlenebiliyorsa onun ortadan kaldırılması çözüm olacaktır.…”