Ureterouterine fistula post caesarean section: a case report
Katherine A Lanary1, Hashim Hashim, John Iacovou
1Department of Urology, The Great Western Hospital, Marlborough Road, Swindon, Wiltshire, SN3 6BB, UK. katelanary@hotmail.com.
Background:
Ureteric injury is usually iatrogenic in origin, in particular as a result of laparoscopic or gynaecological surgery. Of those possible complications of ureteric injury, uretero-uterine fistulae are a rarity. The most common presentation of uretero-uterine fistulae is in women who have had a caesarean section.
Case:
We present the case of a 35 year old woman who presented with continuous vaginal discharge three weeks after undergoing caesarean section.
Conclusion:
Management of ureterouterine fistulae aims to conserve renal function and restore ureteral integrity. The relative rareity of such fistulae however means that there are no clear guidelines on their management. The resolution of this case and general management of uretero-uterine fistulae are discussed.
