[Long-term results of conservative treatment of ureteral fistulas]

Techniques for conservative management of different upper urinary tract pathologies have been widely used in the last decade. Endourological treatment of ureteral fistulas is one of the fields which has developed significantly. Our experience in the management of this condition consists of 9 patients that had been treated from 1983 to the present time. Four of these were in transplanted kidneys. Fistula repair was achieved in 8 cases, although one developed secondary urethral stricture. One patient required open surgical correction. There were no deaths or loss of any renal unit. A mean follow-up of 44 months revealed no complications. We consider this therapeutic modality to be the procedure of choice in patients with ureteral fistulas.