Laparoscopic ureteroneocystostomy for iatrogenic ureterovaginal fistula after modified radical hysterectomy: A case report.

Abstract

An unique laparoscopic ureteroneocystostomy technique was performed to treat an iatrogenic ureterovaginal fistula that was formed in a 69-year-old woman following open modified radical hysterectomy for endometrial cancer. Severe adhesions between the distal ureter and the surrounding tissues, including the iliac artery, were observed. Owing to difficulties in identifying the distal ureter, the proximal ureter was identified and dissected downward to free the ureter, thereby allowing anastomosis. This report shows that laparoscopic ureteroneocystostomy for ureterovaginal fistula repair may prove useful owing to its minimally invasive and broad approach.

• Authors: Yuichi Machida, Hiroki Yoshiuchi, Yuko Kitano, Masato Kamizuru, Junji Uchida
• Journal: Urology case reports (Urol Case Rep) Vol. 44 Pg. 102144 (Sep 2022) ISSN: 2214-4420 [Print] United States
• PMID: 35800149 (Publication Type: Case Reports)
• Copyright: © 2022 The Authors.