Ureteric reimplantation via vaginal route: a new surgical technique. Issue 8 (14th August 2019)

• Record Type: Journal Article
• Authors: Toia, Bogdan; Ockrim, Jeremy J; Greenwell, Tamsin J
• Is Part Of: Journal of surgical case reports. Volume 2019:Issue 8(2019)
• Publication Date: 2019-08-14
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjz235
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Vesicovaginal fistulae (VVF) and ureteric reimplantation are two rare complications of obstetric surgery. VVF can be repaired via a vaginal approach utilizing Martius fat pad interposition to minimize urethral complications and improve surgical outcomes, while ureteric reimplantation into the bladder classically necessitates an abdominal or laparoscopic approach. We present a new technique of ureteric reimplantation via vaginal approach with concomitant repair of a 5-cm VVF in a 25-year-old woman after an emergency caesarean section with bladder injury and ureteric transection. Good drainage was confirmed on MAG3 and successful vaginal birth (albeit preterm) was subsequently achieved.