Biomaterial Database

[Ureterovaginal fistulas. A report of 17 cases]. 1996

S Bennani, and A Joual, and M El Mrini, and S Benjelloun

Service d'Urologie, Casablanca, Maroc.

OBJECTIVE Our purpose was to study aetiopathogenic, diagnostic and therapeutic aspects of ureterovaginal fistulas. METHODS A retrospective study concerned 17 ureterovaginal fistulas in 16 patients. The main causes were gyneacological and obstetrical procedures. The diagnosis was based on clinical considerations and intravenous pyelography in all cases. Three vesicovaginal fistulas were associated with iatrogenic ureteral lesions. Various therapeutic methods were used: psoas-bladder hitch procedure (11 cases) and Boari-Küss flap (4 cases). In two patients, fistulae healed by drainage after ureterolysis. RESULTS Late radiology showed success of the procedure in 14 patients and persistance of ureteral dilatation in 2 cases treated by Boari-Küss procedure. CONCLUSIONS Ureterovaginal fistulae are a relatively frequent complication of pelvic surgery. Psoas-bladder hitch is the procedure of choice in such fistulae cure and prevention is the most efficient treatment.

UI	MeSH Term	Description	Entries
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D012189	Retrospective Studies	Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.	Retrospective Study,Studies, Retrospective,Study, Retrospective
D013524	Surgical Flaps	Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.	Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
D014515	Ureteral Diseases	Pathological processes involving the URETERS.	Disease, Ureteral,Diseases, Ureteral,Ureteral Disease
D014548	Urinary Fistula	An abnormal passage in any part of the URINARY TRACT between itself or with other organs.	Fistula, Urinary,Fistulas, Urinary,Urinary Fistulas
D014567	Urography	Radiography of any part of the URINARY TRACT.	Pyelography,Pyelogram,Urogram,Pyelograms,Pyelographies,Urograms,Urographies
D014624	Vaginal Fistula	An abnormal anatomical passage that connects the VAGINA to other organs, such as the bladder (VESICOVAGINAL FISTULA) or the rectum (RECTOVAGINAL FISTULA).	Fistula, Vaginal,Fistulas, Vaginal,Vaginal Fistulas