The Changing Management of Ureterovaginal Fistulas

Selzman, Andrew A.; Spirnak, J. Patrick; Kursh, Elroy D.

doi:10.1097/00005392-199503000-00020

Cited by 31 publications

(37 citation statements)

References 14 publications

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“…More specifically, ureteral perforations have been reported to occur in approximately 5% of ureteroscopies [4]. These injuries may be associated with ureteral stricture and/or fistula [5,6,7]. Ureteral strictures may be seen in as many as 3-11% of patients having previously undergone ureteroscopic exam [8], but may also result from stone passage, radiation therapy, laparotomy or laparoscopic surgery, or penetrating traumatic injuries [6].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic ureteroureteral anastomosis for repair of ureteral injury involving stricture

Huang

Rowbotham

2004

Int Urogynecol J

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We describe an approach to laparoscopic ureteroureteral anastomosis for surgical management of ureteral stricture, and review four cases in which this method was used. In these four cases, we observed no intraoperative complications. Patients' length of hospital stay was 1-2 days. Follow-up ranged from 12 to 14 months. All four patients have been asymptomatic, and their follow-up intravenous pyelograms (IVPs) have been normal. This surgical approach warrants further study with larger series and long-term follow-up.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic ureteroureteral anastomosis for repair of ureteral injury involving stricture

Huang

Rowbotham

2004

Int Urogynecol J

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“…Dans l'étude de Schmeller et al, la néphrostomie utilisée comme unique traitement de la FUV n'a pas donné de bons résultats : 55 % des patientes présen-taient encore des fuites urinaires vaginales [14]. Al-Otaibi a rapporté un taux de succès de 64 % après une dérivation urinaire par endoprothèse urétérale durant six à huit semaines [1] ; tandis que Selzman et al ont obtenu 100 % de fermeture de la fistule sur une série de sept patientes [15]. La néphrostomie et la pose d'une endoprothèse urétérale sont bénéfiques dans la préservation de la fonction rénale qui est menacée par l'obstruction consécutive à la lésion uré-térale, mais ne peuvent pas garantir la fermeture de la plaie urétérale.…”

Section: Discussionunclassified

La fistule urétérovaginale après césariennes : diagnostic et traitement dans un hôpital à ressources limitées au Togo

Kpatcha

Tengué

Adodo

et al. 2016

Bull. Soc. Pathol. Exot.

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The purpose of this study is to describe a simple, non-expensive, accessible and effective technique of ureterovaginal fistula diagnosis, and to assess the results of surgical management in a resource-constrained hospital. During a campaign of obstetric fistulas repair, we diagnosed ureterovaginal fistulas by vaginal exam with the blue methylene test associated to abdominal ultrasonography, two simple and non-expensive explorations which permitted to identify ureterovaginal fistula and to do differential diagnosis with vesicovaginal fistula. The management was surgery, by ureterovesical reimplantation. Four ureterovaginal fistulas have been diagnosed in 32 women presented with obstetrical fistula. The mean age of those fistulas was 4.85 years; it was located on the left ureter in three cases, on the right in one case. The ureteral lesion was consecutive to a caesarean section in all patients and sited on the pelvic segment of ureter. In three patients, diagnosis was performed by the negativity of the blue test and unilateral dilation of ureter and kidney while the discovery was done during the treatment of vesicovaginal and rectovaginal fistulas associated in the last patient. After effects of surgery were simple, characterized by disappearance of urine leakage and dilation of ureter kidney. In resources-constrained context, techniques such as blue test and ultrasonography are enough to perform diagnosis of ureterovaginal fistula. Ureterovesical reimplantation is an effective therapeutic method for diagnosing ureterovaginal fistula.

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“…Obstetrical and gynecological operations are responsible for producing the majority of these fistulas and the risk of their occurrence has been found to be greater following radiation therapy. At presentation, a ureterovaginal fistula usually involves vaginal drainage of urine, concurrent with abdominal and flank pain, fever and paralytic ileus (12). …”

Section: Ureterovaginal and Ureteroenteric Fistulasmentioning

confidence: 99%

Pelvic Fistulas Complicating Pelvic Surgery or Diseases: Spectrum of Imaging Findings

et al. 2001

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Pelvic fistulas may result from obstetric complications, inflammatory bowel disease, pelvic malignancy, pelvic radiation therapy, pelvic surgery, or other traumatic causes, and their symptoms may be distressing. In our experience, various types of pelvic fistulas are identified after pelvic disease or pelvic surgery. Because of its close proximity, the majority of such fistulas occur in the pelvic cavity and include the vesicovaginal, vesicouterine, vesicoenteric, ureterovaginal, ureteroenteric and enterovaginal type. The purpose of this article is to illustrate the spectrum of imaging features of pelvic fistulas.

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The Changing Management of Ureterovaginal Fistulas

Cited by 31 publications

References 14 publications

Laparoscopic ureteroureteral anastomosis for repair of ureteral injury involving stricture

Laparoscopic ureteroureteral anastomosis for repair of ureteral injury involving stricture

La fistule urétérovaginale après césariennes : diagnostic et traitement dans un hôpital à ressources limitées au Togo

Pelvic Fistulas Complicating Pelvic Surgery or Diseases: Spectrum of Imaging Findings

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