[Prognosis-oriented diagnosis, treatment protocol and after care in uretero-vaginal fistula following gynecological surgery from the urological viewpoint].

It is reported on 20 cases of ureterovaginal fistula after hysterectomy. In all cases renal protection (nephrostomy) was compulsory. Spontaneous healing without stenosis occurred in 6 cases, in 10 cases urethral reimplantation was successful, in 4 cases nephrectomy had to be carried out. Tactics of the therapy are described from the urologic viewpoint. Pre- and postoperative marks with relevance for prognosis and the special following-up are especially emphasized in this connection.