The progress of surgical treatment of ureterovaginal fistula
10.3760/cma.j.issn.1000-6702.2017.10.002
- VernacularTitle:女性输尿管阴道瘘的外科治疗进展
- Author:
Tiejun PAN
1
Author Information
1. 中国人民解放军武汉总医院
- Keywords:
Ureterovaginal fistula;
Pelvic operations;
Diagnosis;
Treatment;
Ureteral repimlantation
- From:
Chinese Journal of Urology
2017;38(10):725-727
- CountryChina
- Language:Chinese
-
Abstract:
Female ureterovaginal fistula (UVF)is pathological communication between the ureter and the vagina,which commonly occurs as a complication of ureteral injuries during pelvic operations,especially hysterectomy.Compared with open surgery,the incidence of UVF secondary to laparoscopic surgery was higher.The main clinical symptom of UVF is persistent vaginal leakage.The ureteral injury can be diagnosed promptly and accurately by medical history,clinical symptoms and CTU.The timing of surgical treatment for UVF is still controversial.When stenting failed,early ureteral reimplantation is necessary.The laparoscopic ureteral repimlantation should be recommended because of less invasion and quick recovery.