A case report of ureterovaginal fistula in pelvic fused kidneys

Background and Objective: The most common cause of ureterovaginal fistula is pelvic surgery. Approximately 10% of urinary fistulas may involve ureters. It was not found ureterovaginal fistula associated with pelvic fused kidneys in English literature. Fistula repair technique is significant in this...

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Autores principales:	AA Kasaeiyan, AA Ramaji
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2003
Materias:	ureterovaginal fistula pelvic fused kidney bladder flap Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/df468dd7c44041debb67d75b1b7925b3
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spelling	oai:doaj.org-article:df468dd7c44041debb67d75b1b7925b32021-11-10T09:18:22ZA case report of ureterovaginal fistula in pelvic fused kidneys1561-41072251-7170https://doaj.org/article/df468dd7c44041debb67d75b1b7925b32003-10-01T00:00:00Zhttp://jbums.org/article-1-2754-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: The most common cause of ureterovaginal fistula is pelvic surgery. Approximately 10% of urinary fistulas may involve ureters. It was not found ureterovaginal fistula associated with pelvic fused kidneys in English literature. Fistula repair technique is significant in this case because of kidney position. Case: An 18-year-old female with continuous urinary incontinence five days following cesarean section referred after one month. IVU showed fused pelvic kidney with left hydroureteronephrosis. Cystoscopy and dye test, under anesthesia did not show vesicovaginal fistula. Double-J catheter did not pass into the left ureter. With regard to these findings, ureterovaginal fistula was diagnosed. For repair, mid line lower abdominal incision was made. Repair procedures such as direct ureteroneocystostomy and psoas hitch was difficult because the ureteral length was short and psoas muscle was behind the pelvic fused kidneys but bladder flap was the convenient procedure that we could do in this patient. The patient was dry and IVU became normal fallowing repair. Conclusion: Repair techniques for ureterovaginal fistulas depend on the ureteral length proximal to the fistula such as direct ureteroneocystostomy, psoas muscle hitch and bladder flap. Bladder flap is the convenient procedure in pelvic fused kidneys because of short ureter and kidneys position.AA KasaeiyanAA RamajiBabol University of Medical Sciencesarticleureterovaginal fistulapelvic fused kidneybladder flapMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 5, Iss 4, Pp 61-63 (2003)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	ureterovaginal fistula pelvic fused kidney bladder flap Medicine R Medicine (General) R5-920
spellingShingle	ureterovaginal fistula pelvic fused kidney bladder flap Medicine R Medicine (General) R5-920 AA Kasaeiyan AA Ramaji A case report of ureterovaginal fistula in pelvic fused kidneys
description	Background and Objective: The most common cause of ureterovaginal fistula is pelvic surgery. Approximately 10% of urinary fistulas may involve ureters. It was not found ureterovaginal fistula associated with pelvic fused kidneys in English literature. Fistula repair technique is significant in this case because of kidney position. Case: An 18-year-old female with continuous urinary incontinence five days following cesarean section referred after one month. IVU showed fused pelvic kidney with left hydroureteronephrosis. Cystoscopy and dye test, under anesthesia did not show vesicovaginal fistula. Double-J catheter did not pass into the left ureter. With regard to these findings, ureterovaginal fistula was diagnosed. For repair, mid line lower abdominal incision was made. Repair procedures such as direct ureteroneocystostomy and psoas hitch was difficult because the ureteral length was short and psoas muscle was behind the pelvic fused kidneys but bladder flap was the convenient procedure that we could do in this patient. The patient was dry and IVU became normal fallowing repair. Conclusion: Repair techniques for ureterovaginal fistulas depend on the ureteral length proximal to the fistula such as direct ureteroneocystostomy, psoas muscle hitch and bladder flap. Bladder flap is the convenient procedure in pelvic fused kidneys because of short ureter and kidneys position.
format	article
author	AA Kasaeiyan AA Ramaji
author_facet	AA Kasaeiyan AA Ramaji
author_sort	AA Kasaeiyan
title	A case report of ureterovaginal fistula in pelvic fused kidneys
title_short	A case report of ureterovaginal fistula in pelvic fused kidneys
title_full	A case report of ureterovaginal fistula in pelvic fused kidneys
title_fullStr	A case report of ureterovaginal fistula in pelvic fused kidneys
title_full_unstemmed	A case report of ureterovaginal fistula in pelvic fused kidneys
title_sort	case report of ureterovaginal fistula in pelvic fused kidneys
publisher	Babol University of Medical Sciences
publishDate	2003
url	https://doaj.org/article/df468dd7c44041debb67d75b1b7925b3
work_keys_str_mv	AT aakasaeiyan acasereportofureterovaginalfistulainpelvicfusedkidneys AT aaramaji acasereportofureterovaginalfistulainpelvicfusedkidneys AT aakasaeiyan casereportofureterovaginalfistulainpelvicfusedkidneys AT aaramaji casereportofureterovaginalfistulainpelvicfusedkidneys
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A case report of ureterovaginal fistula in pelvic fused kidneys

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