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Ureterovaginal Fistula: Summary of 18 Years' Experience
Author(s) -
MANDAL A. K.,
SHARMA S. K.,
VAIDYANATHAN S.,
GOSWAMI A. K.
Publication year - 1990
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1990.tb14785.x
Subject(s) - cystography , medicine , surgery , cystoscopy , intravenous urography , complication , pyelogram , fistula , urinary incontinence , urinary system
Summary— Ureterovaginal fistula is an uncommon complication of pelvic operations. We report 31 such cases seen over an 18‐year period, all of which followed surgery for benign gynaecological conditions. Most patients had no urinary symptoms until the sudden onset of incontinence 1 to 4 weeks post‐operatively. Diagnosis was established by a combination of intravenous urography, cystography, cystoscopy, retrograde ureteropyelography and dye studies. Twenty‐nine patients underwent ureteroneocystostomy, 10 with a Boari flap and 19 by a direct method; fistulas healed in 2 patients following conservative treatment. Renal salvage was achieved in all cases.