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Uretero-vaginal fistulas — clinical presentation, treatment and literature overview
, 1, 2, 1, 3, 4
Affiliations- Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland
- Department of Endocrinology, Diabetology and Metabolic Diseases, Medical University of Lublin, Poland
- 2nd Department of Gynecology, Medical University of Lublin, Poland
- 3rd Department of Gynecology, Medical University of Lublin, Poland
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Abstract
A uretero-vaginal fistula (UVF) describes an abnormal connection between the ureter and vagina causing urinary incontinence, frequent infection, and discomfort. Although UVF might be diagnosed after vaginal delivery, infertility treatment or pelvic radiation therapy, gynecological operations, especially total abdominal hysterectomy, remain the leading cause of ureteral injury and formation of UVF. Traditional ureteroneocystostomy was usually the treatment of choice in patients with UVF. Nevertheless, it is now frequently replaced by less invasive endoscopic and percutaneous procedures which are also highly effective and feasible. That is why, ureteral stenting became the first-line treatment in uncomplicated UVF. The aim of this review is to present clinical presentation of UVF and to assess the current state of knowledge about the diagnosis and management of uretero-vaginal fistula with special interest on minimally-invasive methods.
Abstract
A uretero-vaginal fistula (UVF) describes an abnormal connection between the ureter and vagina causing urinary incontinence, frequent infection, and discomfort. Although UVF might be diagnosed after vaginal delivery, infertility treatment or pelvic radiation therapy, gynecological operations, especially total abdominal hysterectomy, remain the leading cause of ureteral injury and formation of UVF. Traditional ureteroneocystostomy was usually the treatment of choice in patients with UVF. Nevertheless, it is now frequently replaced by less invasive endoscopic and percutaneous procedures which are also highly effective and feasible. That is why, ureteral stenting became the first-line treatment in uncomplicated UVF. The aim of this review is to present clinical presentation of UVF and to assess the current state of knowledge about the diagnosis and management of uretero-vaginal fistula with special interest on minimally-invasive methods.
Keywords
uretero-vaginal fistula; post-operative; complication; minimally-invasive
About this articleTitle
Uretero-vaginal fistulas — clinical presentation, treatment and literature overview
Journal
Issue
Article type
Review paper
Pages
501-505
Published online
2022-03-17
Page views
5003
Article views/downloads
1578
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(6):501-505.
Keywords
uretero-vaginal fistula
post-operative
complication
minimally-invasive
Authors
Krzysztof Pyra
Maciej Szmygin
Hanna Szmygin
Tomasz Jargiello
Tomasz Rechberger
Slawomir Wozniak
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