Oka Toshiki, Inoguchi Shunsuke, Kawata Nobuhiko, Tani Masaru, Asakura Toshihisa, Kawamura Norihiko, Nakagawa Masahiro, Tsutahara Koichi, Takao Tetsuya, Yamaguchi Seiji
The Department of Urology, Osaka General Medical Center.
Hinyokika Kiyo. 2021 Jan;67(1):27-30. doi: 10.14989/ActaUrolJap_67_1_27.
A 41-year-old female who suffered local recurrence of cervical cancer after receiving chemoradiotherapy underwent radical hysterectomy, radical vaginal resection, and pelvic and paraaortic lymph node dissection. After surgery, bilateral hydronephrosis due to right ureteral stenosis and left uretero-vaginal fistula occurred. We therefore placed a bilateral ureteral stent. Thereafter, we continued to replace the bilateral ureteral stent once every 3 months, but the replacement of the right ureteral stent became impossible three years after the initial placement. We thus performed bilateral upper urinary tract reconstruction using an ileal ureter with the aim of both eliminating the left ureteral vaginal fistula and resolving the right ureteral stricture.
一名41岁女性在接受放化疗后出现宫颈癌局部复发，接受了根治性子宫切除术、根治性阴道切除术以及盆腔和腹主动脉旁淋巴结清扫术。术后，因右侧输尿管狭窄和左侧输尿管阴道瘘出现双侧肾积水。因此，我们放置了双侧输尿管支架。此后，我们继续每3个月更换一次双侧输尿管支架，但在初次放置三年后，右侧输尿管支架无法再进行更换。于是，我们采用回肠代输尿管进行双侧上尿路重建，目的是消除左侧输尿管阴道瘘并解决右侧输尿管狭窄问题。
