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[Uretero-vaginal fistulas. 45 cases]
A Benchekroun1, A Lachkar, A Soumana
1Clinique Urologique A, CHU Ibn Sina, Rabat, Maroc.
Annales D'Urologie
|November 25, 1998
Summary
Ureterovaginal fistula (UVF) is often caused by obstetric procedures or hysterectomy. Surgical repair offers a favorable outcome in most cases, with ureterovesical reimplantation being a common treatment.
Area of Science:
- Urology
- Gynecology
- Obstetrics
Context:
- Ureterovaginal fistula (UVF) is a rare but serious complication following gynecological and obstetric procedures.
- This study analyzes a 25-year experience with 45 cases of UVF, detailing causes, clinical presentation, diagnosis, and treatment outcomes.
Purpose:
- To review the etiology, clinical presentation, diagnostic methods, and surgical management of ureterovaginal fistula.
- To evaluate the success rates of various surgical interventions for UVF.
Summary:
- The study identified 45 cases of UVF, with 71% secondary to obstetric procedures and 29% following hysterectomy.
- Common symptoms included vaginal urine leakage and low back pain. Intravenous urography (IVU) was the primary diagnostic tool.
- Surgical treatments varied, including ureterovesical reimplantation, bladder flaps, and nephrectomy, with a 77% favorable outcome rate.
Impact:
- This review highlights the importance of timely diagnosis and appropriate surgical management for UVF.
- Understanding the common causes and successful treatments can improve patient outcomes and guide clinical practice in managing this complication.