Laparoscopic ureteroneocystostomy for iatrogenic ureterovaginal fistula after modified radical hysterectomy: A case report.

作者信息

Machida Yuichi, Yoshiuchi Hiroki, Kitano Yuko, Kamizuru Masato, Uchida Junji

机构信息

Department of Urology, Yao Municipal Hospital, 1-3-1, Ryuge-cho, Yao-city, Osaka, 581-0069, Japan.

Department of Urology, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan.

出版信息

Urol Case Rep. 2022 Jun 27;44:102144. doi: 10.1016/j.eucr.2022.102144. eCollection 2022 Sep.

DOI:10.1016/j.eucr.2022.102144

PMID:35800149

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9253995/

Abstract

An unique laparoscopic ureteroneocystostomy technique was performed to treat an iatrogenic ureterovaginal fistula that was formed in a 69-year-old woman following open modified radical hysterectomy for endometrial cancer. Severe adhesions between the distal ureter and the surrounding tissues, including the iliac artery, were observed. Owing to difficulties in identifying the distal ureter, the proximal ureter was identified and dissected downward to free the ureter, thereby allowing anastomosis. This report shows that laparoscopic ureteroneocystostomy for ureterovaginal fistula repair may prove useful owing to its minimally invasive and broad approach.

摘要