Ureterovaginal Fistula after Use of Harmonic Scalpel in Total Laparoscopic Hysterectomy: Possible Causes and Successful Management

Abstract

We report a case of a woman presenting with continuous dribbling of urine since her total laparoscopic hysterectomy with harmonic scalpel three months back. A clinical examination, three swab test and IVP confirmed a left sided uretrovaginal fistula. A ureteroneocystostomy was done and she recovered full bladder control. In this case we try to find the reasons and the finer points of harmonic use to prevent such an injury.