Abstract
Ureterovaginal fistula (UVF) is an uncommon but devastating complication of gynecologic surgery. Management includes ureteral stenting for 6–8 weeks. For stent failure, ureteroneocystostomy (UNC) through an open, laparoscopic, or robotic abdominal approach is the classic alternative. Originally pioneered for repair of vesicovaginal fistulas (VVF), the use of the vaginal approach in UVF is scarcely reported in the literature. We report the successful repair of UVF performed exclusively through the vaginal approach in two women after robotic hysterectomy. In select clinical scenarios, this approach may be applied, as it provides a minimally invasive option for managing UVF after failure of ureteral stenting.
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References
Moir JC (1973) Vesico-vaginal fistulae as seen in Britain. J Obstet Gynaecol Br Commonwealth 80(7):598–602
Harris WJ (1995) Early complications of abdominal and vaginal hysterectomy. Obstet Gynecol Surv 50(11):795–805
Gilmour DT, Dwyer PL, Carey MP (1999) Lower urinary tract injury during gynecologic surgery and its detection by intraoperative cystoscopy. Obstet Gynecol 94(5 Pt 2):883–889
Hoch WH, Kursh ED, Persky L (1975) Early, aggressive management of intraoperative ureteral injuries. J Urol 114(4):530–532
Mandal AK, Sharma SK, Vaidyanathan S, Goswami AK (1990) Ureterovaginal fistula: summary of 18 years’ experience. Br J Urol 65(5):453–456
Kumar A, Goyal NK, Das SK, Trivedi S, Dwivedi US, Singh PB (2009) Our experience with genitourinary fistulae. Urol Int 82(4):404–410
Chen SS, Yang SH, Yang JM, Huang WC (2007) Transvaginal repair of ureterovaginal fistula by Latzko technique. Int Urogynecol J Pelvic Floor Dysfunct 18(11):1381–1383
Zimmern PE, Hadley HR, Staskin DR, Raz S (1985) Genitourinary fistulae. Vaginal approach for repair of vesicovaginal fistulae. Urol Clin N Am 12(2):361–367
Higgins CC (1962) Ureteral injuries. JAMA 182:225–229
Selzman AA, Spirnak JP, Kursh ED (1995) The changing management of ureterovaginal fistulas. J Urol 153(3 Pt 1):626–628
Schmeller NT, Göttinger H, Schüller J, Marx FJ (1983) Percutaneous nephrostomy as primary therapy of ureterovaginal fistula. Urologe A 22(2):108–112
Elabd S, Ghoniem G, Elsharaby M, Emran M, Elgamasy A, Felfela T, Elshaer A (1997) Use of endoscopy in the management of postoperative ureterovaginal fistula. Int Urogynecol J Pelvic Floor Dysfunct 8(4):185–190
Goodwin WE, Scardino PT (1980) Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol 123(3):370–374
Murphy DM, Grace PA, O'Flynn JD (1982) Ureterovaginal fistula: a report of 12 cases and review of the literature. J Urol 128(5):924–925
Benchekroun A, Lachkar A, Soumana A, Farih MH, Belahnech Z, Marzouk M, Faik M (1998) Uretero-vaginal fistulas: 45 cases. Ann Urol 32(5):295–299
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Boateng, A.A., Eltahawy, E.A. & Mahdy, A. Vaginal repair of ureterovaginal fistula may be suitable for selected cases. Int Urogynecol J 24, 921–924 (2013). https://doi.org/10.1007/s00192-013-2070-6
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DOI: https://doi.org/10.1007/s00192-013-2070-6