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Transvaginal repair of ureterovaginal fistula by Latzko technique
Authors:Shwu-Shiuang Chen  Shwu-Huey Yang  Jenn-Ming Yang  Wen-Chen Huang
Affiliation:(1) Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China;(2) School of Health and Nutrition, Taipei Medical University, Taipei, Taiwan, Republic of China;(3) School of Medicine, Taipei Medical University, Taipei, Taiwan, Republic of China;(4) Department of Obstetrics and Gynecology, Cathay General Hospital, 280, Ren-Ai Road, Section 4, Taipei, 106, Taiwan, Republic of China;(5) School of Medicine, Fu Jen Catholic University, Taipei, Taiwan, Republic of China
Abstract:
Ureterovaginal fistula is an uncommon but serious sequela of unrecognized distal ureteral injury during pelvic operations. Traditionally, it is managed either by endoscopic internal ureteral stenting or by ureteral reimplantation. We report a case of ureterovaginal fistula that failed to respond to ureteral stenting. Because the patient had a history of several laparotomies and intra-abdominal abscesses, she was at high risk for complications with a transabdominal operation. Therefore, we used transvaginal Latzko partial colpocleisis and successfully resolved the ureterovaginal fistula.
Keywords:Ureterovaginal fistula  Latzko partial colpocleisis
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