Related Experiment Videos
[Uretero-vaginal fistula. Therapeutic alternatives concerning 10 cases]
K Tazi1, S Moudouni, A Koutani
1Service d'Urologie B, Hôpital Avicenne, Rabat, Maroc.
Objective:
Our purpose was to study aetiopathogenic, diagnostic and therapeutic aspects of ureterovaginal fistulas.
Study Design:
A retrospective study concerned 10 ureterovaginal fistulas. The main causes were gyneacoligical and obstetrical procedures. The diagnosis was based on clinical considerations and intravenous pyelography in all cases. Various therapeutic methods were used: Fistulas has managed in three cases by ureteroneocystostomy. Five cases were managed with ipsilateral ureteroureterostomy, the segment of ureter below the fistula was identified using ureteroscopic perforation of this segment in three cases. In one case the fistula was successfully managed by ureteroscopic placement of ureteral stent. In case whose fistula was developed after cancer pelvic we choice abstention.
Results:
Late radiology showed success of the procedure in 7 patients and persistance of hypotony in 2 cases treated by u reteroneocystostomy.
Conclusion:
Ureterofistula is rare, but a relative frequent complication of pelvic surgery whose prevention is the most efficient treatment. Ureteroureterostomy is a good procedure when ureteroscopy is performed.