A Refined Combined Antero-Retrograde Approach for the Resolution of a Complex Ureterovaginal Fistula: An Endourologic Case Report. Issue 2 (April 2013)

• Record Type: Journal Article
• Authors: Masciovecchio, Stefano; Galatioto, Giuseppe Paradiso; Saldutto, Pietro; Del Rosso, Alessandro; Di Pierro, Ezio Domenico; Vicentini, Carlo
• Is Part Of: Urologia journal. Volume 80:Issue 2(2013)
• Page Start: 154
• Page End: 157
• Publication Date: 2013-04
• Subjects: Endourologic -- Fistula -- Ureterovaginal -- Endourologico -- Fistola -- Ureterovaginale; Urology -- Periodicals; 616.6005
• DOI: 10.5301/RU.2013.10761
• Languages: English
• ISSNs: 0391-5603

Abstract

The onset of a ureterovaginal fistula is a not frequent, though it represents a dreaded and disabling complication of the pelvic surgery. The literature suggests to perform ureteroneocystostomy associated, if necessary, with a bladder suspension technique to Psoas muscle, or endoscopic procedures of ureteral stenting as the "gold standard" to repair this condition. We describe an innovative combined anterograde trans-nephrostomic and retrograde trans-ureteral surgical approach successfully carried out for the treatment of a rare ureterovaginal fistula associated with ipsilateral hydroureteronephrosis secondary to a complete obliteration of the ureteral orifice. We believe that this approach could be considered as a minimally invasive surgical option, an alternative to the traditional ones, for the repair of ureterovaginal fistulae complicated by a complete obliteration of the ipsilateral ureteral meatus.