What is it about?
Ureterovaginal fistula is a serious sequela of ureteral injuries and is usually encountered after gynecological and obstetrical pelvic surgeries. Vesicovaginal fistulas occur between the urinary tract and vagina after vaginal delivery. We report a case of ureterovaginal fistula after a prolonged and difficult vaginal delivery, which was treated with ureteroneocystostomy (reimplantation of the ureter into bladder).
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Why is it important?
Although the majority of fistulas of the vagina after prolonged and difficult delivery are vesicovaginal in origin due to the pressure effect of the fetus on the bladder resulting in necrosis, this pressure also may cause necrosis of the distal ureter, resulting in complications such as ureterovaginal fistulas.
Perspectives
A ureterovaginal fistula is a rare but a relatively frequent complication of pelvic surgery. We recommend a minimal invasive approach including ureteric stent insertion as primary management and routine cystoscopy to rule out an association of a vesicovaginal fistula.
Dr Mohammad Reza Safarinejad
University of Medical Sceices
Read the Original
This page is a summary of: URETEROVAGINAL FISTULA AFTER VAGINAL DELIVERY, The Journal of Urology, September 1998, Wolters Kluwer Health,
DOI: 10.1097/00005392-199809010-00055.
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