[Iatrogenic ureteral injury and the development of vesico-vaginal fistula: a complication of total hysterectomy for multiple myoma uteri].

Abstract

A 42-year-old woman underwent total hysterectomy for multiple myoma uteri. Postoperatively the patient complained of lower abdominal pain and total incontinence. She had also developed left-sided hydronephrosis. Left nephrostomy was constructed and necessary investigations were done. It was diagnosed as a case of left ureteral injury with vesico-vaginal fistula. Repair of vesico-vaginal fistula and reimplantation of the left ureter were performed in a single setting three months after the injury. Subsequently, the nephrostomy was removed. Hydronephrosis was improved with an excellent outcome of fistula repair.

• Authors: Hiromasa Sakai, Haruaki Kato, Shinya Kobayashi, Osamu Nishizawa
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 48 Issue 12 Pg. 745-7 (Dec 2002) ISSN: 0018-1994 [Print] Japan
• PMID: 12613009 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Abdominal Pain (etiology, therapy)
• Adult
• Female
• Humans
• Hydronephrosis (therapy)
• Hysterectomy
• Iatrogenic Disease
• Leiomyoma (surgery)
• Neoplasms, Multiple Primary (surgery)
• Nephrostomy, Percutaneous
• Treatment Outcome
• Ureter (injuries, surgery)
• Urinary Incontinence (etiology, therapy)
• Uterine Neoplasms (surgery)
• Vesicovaginal Fistula (surgery)