Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland.
Department of Endocrinology, Diabetology and Metabolic Diseases, Medical University of Lublin, Poland.
Ginekol Pol. 2022;93(6):501-505. doi: 10.5603/GP.a2021.0240. Epub 2022 Mar 22.
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.
输尿管阴道瘘（UVF）描述了一种异常的输尿管和阴道之间的连接，导致尿失禁、频繁感染和不适。虽然 UVF 可能在阴道分娩、不孕治疗或盆腔放射治疗后被诊断出来，但妇科手术，特别是全子宫切除术，仍然是输尿管损伤和 UVF 形成的主要原因。传统的输尿管膀胱吻合术通常是 UVF 患者的首选治疗方法。然而，现在它经常被创伤更小的内镜和经皮手术所取代，这些手术同样非常有效和可行。这就是为什么输尿管支架成为单纯性 UVF 的一线治疗方法。本综述的目的是介绍 UVF 的临床表现，并评估目前对输尿管阴道瘘的诊断和治疗的认识，特别关注微创方法。
