[Anatomico-clinical basis for transvaginal ureterolithotomy]

Transvaginal ureterolithotomy has been performed on 24 patients. Topographic anatomic examination of 50 deceased women showed that injury to the womb in the process of exposing the ureters is unlikely since the right ureter is situated 2.5-3.5 cm and the left one 1.5-2.5 cm away from the edge of the womb. Injury to the A. uterina is factually out of the question since it runs 3.5-4.5 cm away from the entrance of the ureter into the bladder. In the period 1969-1981 24 patients between the ages of 27 and 74 were operated on. In 16 patients the operation was carried out without exposing the ureter from the surrounding tissue by means of opening the lumen above the stone in the upper part. The post-operative course was as a rule without complications. The immediate and long-term results of the operations are satisfactory.