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EnglishThe onset of a ureterovaginal fistula is a not frequent, though it represents a dreaded and disabling complication of the pelvic surgery. The literature suggests to perform ureteroneocystostomy associated, if necessary, with a bladder suspension technique to Psoas muscle, or endoscopic procedures of ureteral stenting as the "gold standard" to repair this condition. We describe an innovative combined anterograde trans-nephrostomic and retrograde trans-ureteral surgical approach successfully carried out for the treatment of a rare ureterovaginal fistula associated with ipsilateral hydroureteronephrosis secondary to a complete obliteration of the ureteral orifice. We believe that this approach could be considered as a minimally invasive surgical option, an alternative to the traditional ones, for the repair of ureterovaginal fistulae complicated by a complete obliteration of the ipsilateral ureteral meatus.
| Titolo: | A refined combined antero-retrograde approach for the resolution of a complex ureterovaginal fistula: an endourologic case report |
| Autori: | |
| Data di pubblicazione: | 2013 |
| Rivista: | |
| Abstract: | The onset of a ureterovaginal fistula is a not frequent, though it represents a dreaded and disabling complication of the pelvic surgery. The literature suggests to perform ureteroneocystostomy associated, if necessary, with a bladder suspension technique to Psoas muscle, or endoscopic procedures of ureteral stenting as the "gold standard" to repair this condition. We describe an innovative combined anterograde trans-nephrostomic and retrograde trans-ureteral surgical approach successfully carried out for the treatment of a rare ureterovaginal fistula associated with ipsilateral hydroureteronephrosis secondary to a complete obliteration of the ureteral orifice. We believe that this approach could be considered as a minimally invasive surgical option, an alternative to the traditional ones, for the repair of ureterovaginal fistulae complicated by a complete obliteration of the ipsilateral ureteral meatus. |
| Handle: | http://hdl.handle.net/11697/10003 |
| Appare nelle tipologie: | 1.1 Articolo in rivista |
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