Ureterovaginal fistula: a case series

Shaw, Jay; Tunitsky-Bitton, Elena; Barber, Matthew D.; Jelovsek, J. Eric

doi:10.1007/s00192-013-2272-y

Cited by 25 publications

(32 citation statements)

References 25 publications

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“…The diagnosis is based primarily on CT urography, however, this only confirms the diagnosis in 58% of patients 4. In our case, the diagnosis could not be confirmed by CT urography but was established by perioperative cystoscopy, cystography, retrograde ureterography and a dye study.…”

Section: Discussioncontrasting

confidence: 46%

“…Surgical procedures in radiated patients might cause further problems due to non-healing and new fistula formation. Conservative treatment with a ureteral stent is reported in few cases 1 4. In our case, we had a successful outcome with the use of a Memokath 051 stent for the treatment of UVF.…”

Section: Discussionmentioning

confidence: 59%

“…The treatment of choice is usually ureteroneocystostomy with or without excision of the fistula. It is always challenging in patients previously treated by radiation due to malignancy 1 2 4…”

Section: Introductionmentioning

confidence: 99%

“…For surgical repair of UVF with ureteroneocystostomy, with or without a Boari flap, a Psoas hitch has a success rate from 70% to 100%, while the rate with conservative treatment in selected patients by a double J catheter is reported as 71% 2 4 5…”

Section: Introductionmentioning

confidence: 99%

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Treatment of ureterovaginal fistula using a Memokath stent

2014

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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.

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Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treatment of ureterovaginal fistula using a Memokath stent

2014

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“…Initial management with ureteral stenting in ureterovaginal fistula following gynaecological injuries appears to be the best initial approach with a reported success rate of 71% [12]. Failure of endoscopic management warrants surgical repair.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

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Introduction: Most commonly ureterovaginal fistula occurs due to surgical injury inflicted to the distal ureter and because of gynaecological procedures. Open surgical repair is a standard procedure and commonly involves ureteroneocystostomy. Methods: We retrospectively reviewed data of 9 patients, who underwent laparoscopic extravesical Lich-Gregoir ureteroneocystostomy using the psoas hitch procedure for ureterovaginal fistulas following hysterectomy during the period December 2012-August 2014. Transperitoneal laparoscopic ureteroneocystostomy was performed in all cases. Results: The mean operative time was 212 min (range 170-310) and estimated blood loss was 108 ml (range 70-150). Average hospital stay was 5.7 days. Follow-up time was from 6 to 26 months. Postoperative intravenous urography was done after 3 months, which showed patent anastomosis in 8 patients except for 1 patient who had nonvisualization of the ipsilateral renal moiety. Voiding cystogram done at 3 months showed no leakage in all patients. In the postoperative period, 1 patient had recurrent ipsilateral pyelonephritis 2 weeks after surgery, while another patient had febrile UTI. Apart from these no major complications were observed. Conclusion: Laparoscopic ureteroneocystostomy with psoas hitch can be performed safely with a success rate compared to that of open surgery but with less morbidity and quick convalescence.

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Fistulae and Sinuses

Jones¹,

Aboumarzouk²

2019

Blandy's Urology

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Ureterovaginal fistula: a case series

Cited by 25 publications

References 25 publications

Treatment of ureterovaginal fistula using a Memokath stent

Treatment of ureterovaginal fistula using a Memokath stent

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

Fistulae and Sinuses

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