Related Experiment Video
Updated: May 4, 2026
10:10
A Novel Murine Model of Arteriovenous Fistula Failure: The Surgical Procedure in Detail
Published on: February 3, 2016
13.0K
Ureterovaginal fistula: a case series
J Shaw1, E Tunitsky-Bitton, M D Barber
1Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA.
International Urogynecology Journal
|December 19, 2013
Summary
Ureterovaginal fistula, a rare complication of gynecologic surgery, is best initially managed with ureteral stents, achieving a 71% success rate. Surgical repair, including minimally invasive techniques, offers high success rates for persistent cases.
Area of Science:
- Urology
- Gynecologic Surgery
- Medical Complications
Background:
- Ureterovaginal fistula is an uncommon but significant complication following gynecologic procedures.
- New-onset urinary incontinence post-gynecologic surgery warrants consideration of ureterovaginal fistula in the differential diagnosis.
Purpose of the Study:
- To describe the presentation, diagnosis, and management of ureterovaginal fistula.
- To evaluate the efficacy of conservative and surgical interventions for ureterovaginal fistula.
Main Methods:
- Retrospective review of 19 ureterovaginal fistula cases from 2003-2011.
- Analysis of demographic data, antecedent events, symptoms, diagnostic imaging (CT urography), and treatment strategies.
Main Results:
- Eighteen of 19 fistulas occurred post-hysterectomy; none were recognized intraoperatively.
- Non-surgical management with ureteral stents succeeded in 71% of cases.
- Surgical repair, including ureteroneocystostomy (open and minimally invasive), demonstrated high success rates.
Conclusions:
- Ureterovaginal fistula should be considered in post-operative urinary incontinence after gynecologic surgery.
- Conservative management with ureteral stenting is an effective initial approach for selected patients.
- Minimally invasive surgical repairs for ureterovaginal fistula are comparable in success to open procedures.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
1.0K
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
1.0K
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
860
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
860
01:19Anatomy of the Genitourinary System II: Bladder and Urethra
3.6K
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
3.6K
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
4.7K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
4.7K
01:28Urinary Tract Calculi I: Introduction
1.1K
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
1.1K
01:30Urinary Tract Calculi III: Medical Management
400
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
400