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Vesicovaginal Fistula and Ureteral Injury During Pelvic Surgery

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Urological Emergencies

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Genitourinary fistula may result from obstructed labor during childbirth, pelvic irradiation, or from iatrogenic injury during gynecologic and pelvic surgery. If unrecognized, complications such as vesicovaginal fistula, ureterovaginal fistula, or ureteral stricture may occur. The avoidance, recognition, and subsequent treatment of these complications are an important issue. This chapter focuses on causes of urogenital fistula and ureteral injuries, strategies for prevention, methods to help identify them, and their appropriate management either in the initial or postoperative setting.

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References

  1. Medical Defense Union. Risk management in obstetrics and gynaecology. J Med Def Union. 1991;2:36–9.

    Google Scholar 

  2. Ward CJ. Analysis of 500 obstetric gynecologic malpractice claims. Causes and prevention. Am J Obstet Gynecol. 1991;165:298–304.

    Article  PubMed  CAS  Google Scholar 

  3. Gerber GS, Schoenberg HW. Female urinary tract fistulas. J Urol. 1993;142:229–36.

    Google Scholar 

  4. Elkins TE. Surgery for the obstetric vesico-vaginal fistula. A review of 100 operations in 82 patients. Am J Obstet Gynecol. 1994;170:1108–18.

    Article  PubMed  CAS  Google Scholar 

  5. Kelly J. Vesico-vaginal and recto-vaginal fistulae. J R Soc Med. 1992;85:257–8.

    PubMed  CAS  Google Scholar 

  6. Hilton P, Ward A. Epidemiological and surgical aspects of urogenital fistulae: a review of 25 years’ experience in Nigeria. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9:189–94.

    Article  PubMed  CAS  Google Scholar 

  7. Danso KA, Martey JO, Wall LL, Elkins TE. The epidemiology of genito-urinary fistulae in Kumasi, Ghana. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7:117–20.

    Article  PubMed  CAS  Google Scholar 

  8. Blandy JP, Badenoch DF, Fowler CG, Jenkins BJ, Thomas NWM. Early repair of iatrogenic injury to the ureter or bladder after gynaecological surgery. J Urol. 1991;146:761–5.

    PubMed  CAS  Google Scholar 

  9. O’Conor V. Review of experience with vesico-vaginal fistula repair. J Urol. 1980;123:367–9.

    PubMed  Google Scholar 

  10. Tancer ML. The post-total hysterectomy (vault) vesicovaginal fistula. J Urol. 1980;123:839–40.

    PubMed  CAS  Google Scholar 

  11. Tancer ML. Observations on prevention and management of vesicovaginal fistula after total hysterectomy. Surg Gynecol Obstet. 1992;175:501–6.

    PubMed  CAS  Google Scholar 

  12. Romics I, Kelemen Z, Fazakas Z. The diagnosis and management of vesicovaginal fistulae. BJU Int. 2002;89:764–6.

    Article  PubMed  CAS  Google Scholar 

  13. Goodwin WE, Scardino PT. Vesicovaginal and uretherovaginal fistulas: a summary of 25 years of experience. J Urol. 1980;123:370–4.

    PubMed  CAS  Google Scholar 

  14. Lee RA, Symmonds RE, Williams TJ. Current status of genitourinary fistula. Obstet Gynecol. 1988;72:313–9.

    PubMed  CAS  Google Scholar 

  15. Hedlund H, Lindstedt E. Urovaginal fistulas: 20 years experience with 45 cases. J Urol. 1987;137:926–8.

    PubMed  CAS  Google Scholar 

  16. Kadar N, Lemminerling L. Urinary tract injuries during laparoscopic assisted hysterectomy: causes and prevention. Am J Obstet Gynecol. 1994;170:47–8.

    Article  PubMed  CAS  Google Scholar 

  17. Janeschek G, Mack D, Hetzel H. Urinary diversion in gynecologic malignancies. Eur Urol. 1988;14:371–6.

    Google Scholar 

  18. Szabl P. Bladder stone formation on a swallowed knife blade and spontaneous passage through a vesicovaginal fistula. Br J Urol. 1995;76:659–60.

    Article  Google Scholar 

  19. Goldstein I, Wise GJ, Tancer ML. A vesicovaginal fistula and intravesical foreign body: a rare case of the neglected pessary. Am J Obstet Gynecol. 1990;163:589–91.

    Article  PubMed  CAS  Google Scholar 

  20. Binstock MA, Semrad N, Dubow L, Watring W. Combined vesicovaginal-ureterovaginal fistulas associated with a vaginal foreign body. Obstet Gynecol. 1980;76:918–21.

    Google Scholar 

  21. Ba-Thike K, Thane A, Nan O. Tuberculous vesicovaginal fistula. Int J Gynecol Obstet. 1996;37:127–30.

    Article  Google Scholar 

  22. Agarwal N, Seth A, Kulshrestha V, Kochar S, Kriplani A. Spontaneous vesicovaginal fistula caused by genitourinary aspergillosis. Int J Gynaecol Obstet. 2009;105:63–4.

    Article  PubMed  Google Scholar 

  23. Dennis N, Wilkinson J, Robboy S, Idrissa A. Schistosomiasis and vesicovaginal fistula. Afr J Reprod Health. 2009;13:137–40.

    PubMed  Google Scholar 

  24. Rovner ES. Urinary tract fistulae. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Saunders; 2012. p. 2223–61.

    Google Scholar 

  25. Muleta M, Rasmussen S, Kiserud T. Obstetric fistula in 14,928 Ethiopian women. Acta Obstet Gynecol Scand. 2010;89:945–51.

    Article  PubMed  Google Scholar 

  26. Kursch ED, Morse RM, Resnik MI, Persky L. Prevention and development of a vesicovaginal fistula. Surg Gynecol Obstet. 1988;166:409–12.

    Google Scholar 

  27. Pushkar DY, Dyakov VV, Kasyan GR. Management of radiation-induced vesicovaginal fistula. Eur Urol. 2009;55:131–7.

    Article  PubMed  Google Scholar 

  28. DeRidder D, Badlani GH, Singh P, Sombie I, Wall LL. Fistulas in the developing world. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. 4th ed. Paris: Health Publication; 2009. p. 1421–58.

    Google Scholar 

  29. Muleta M, Hamlin EC, Fantahun M, Kennedy RC, Tafesse B. Health and social problems encountered by treated and untreated obstetric fistula patients in rural Ethiopia. J Obstet Gynaecol Can. 2008;30:44–50.

    PubMed  Google Scholar 

  30. Gharoro EP, Agholor KN. Aspects of psychosocial problems of patients with vesico-vaginal fistula. J Obstet Gynaecol. 2009;29:644–7.

    Article  PubMed  CAS  Google Scholar 

  31. Browning A, Fentahun W, Goh JT. The impact of surgical treatment on the mental health of women with obstetric fistula. BJOG. 2000;114:1439–41.

    Article  Google Scholar 

  32. Smith GL, Williams G. Vesicovaginal fistula. BJU Int. 1999;83:564–9.

    Article  PubMed  Google Scholar 

  33. Rackley RR, Appell RA. Vesicovaginal fistula: current approach, AUA update series. Lesson 21, vol. 17. Philadelphia: Lippincott Williams & Wilkins; 1998.

    Google Scholar 

  34. Neale G. Clinical analysis of 100 medico-legal cases. Br Med J. 1993;307:1483–7.

    Article  CAS  Google Scholar 

  35. Schleicher DJ, Ojengbede OHA, Elkins TE. Urologic evaluation after closure of vesico-vaginal fistulae. Int Urogynecol J. 1993;4:262–4.

    Article  Google Scholar 

  36. Chassar-Moir J. Vesico-vaginal fistulae as seen in Britain. J Obstet Gynaecol Br Commonw. 1983;80:598–601.

    Article  Google Scholar 

  37. Symmonds RE. Incontinence: vesical and urethral fistulas. Clin Obstet Gynecol. 1984;27:499–514.

    Article  PubMed  CAS  Google Scholar 

  38. Forsgren C, Lundholm C, Johansson AL, Cnattingius S, Altman D. Hysterectomy for benign indications and risk of pelvic organ fistula disease. Obstet Gynecol. 2009;114:594–9.

    Article  PubMed  Google Scholar 

  39. Ibeanu OA, Chesson RR, Echols KT, Nieves M, Busangu F, Nolan TE. Urinary tract injury during hysterectomy based on universal cystoscopy. Obstet Gynecol. 2009;113:6–10.

    PubMed  Google Scholar 

  40. Stothers L, Chopra A, Raz S. Vesicovaginal fistula. In: Raz S, editor. Female urology. 2nd ed. Philadelphia: Saunders; 1996. p. 492–506.

    Google Scholar 

  41. Duong TH, Gellasch TL, Adam RA. Risk factors for the development of vesicovaginal fistula after incidental cystotomy at the time of a benign hysterectomy. Am J Obstet Gynecol. 2009;201:512.e1–4.

    Google Scholar 

  42. Armenakas NA, Pareek G, Fracchia JA. Iatrogenic bladder perforations: long term followup of 65 patients. J Am Coll Surg. 2004;198:78–82.

    Article  PubMed  Google Scholar 

  43. Arrowsmith SD. Genitourinary reconstruction in obstetric fistulas. J Urol. 1994;152:403–6.

    PubMed  CAS  Google Scholar 

  44. Comiter CV, Vasavada S, Raz S. Vesico-vaginal fistula. In: Raz S, editor. Atlas of the urologic clinics of North America—vaginal surgery. Baltimore: Williams and Wilkins; 2000. p. 133–40.

    Google Scholar 

  45. Muntz HG, Goff BA, Thor AD, Tarraza HM. Post-hysterectomy carcinoma of the fallopian tube mimicking a vesicovaginal fistula. Obstet Gynecol. 1992;79:853–6.

    PubMed  CAS  Google Scholar 

  46. O’Brien WM, Lynch JH. Simplification of double-dye test to diagnose various types of vaginal fistulas. Urology. 1990;36:456.

    Article  PubMed  Google Scholar 

  47. Morgan JL, O’Connell HE, McGuire EJ. Is intrinsic sphincter deficiency a complication of simple hysterectomy? J Urol. 2000;164:767–9.

    Article  PubMed  CAS  Google Scholar 

  48. Hilton P. Urodynamic findings in patients with urogenital fistulae. Br J Urol. 1998;81:539–42.

    Article  PubMed  CAS  Google Scholar 

  49. McLennan MT, Bent AE. Supine empty stress test as a predictor of low valsalva leak point pressure. Neurourol Urodyn. 1998;17:121–7.

    Article  PubMed  CAS  Google Scholar 

  50. English SF, Amundsen CL, McGuire EJ. Bladder neck competency at rest in women with incontinence. J Urol. 1999;161:578–80.

    Article  PubMed  CAS  Google Scholar 

  51. Huang WC, Yang JM. Bladder neck funneling on ultrasound cystourethrography in primary stress urinary incontinence: a sign associated with urethral hypermobility and intrinsic sphincter deficiency. Urology. 2003;61:936–41.

    Article  PubMed  Google Scholar 

  52. DeLancey JO, Trowbridge ER, Miller JM, Morgan DM, Guire K, Fenner DE, et al. Stress urinary incontinence: relative importance of urethral support and urethral closure pressure. J Urol. 2008;179:2286–90.

    Article  PubMed  Google Scholar 

  53. Ascher-Walsh CJ, Capes TL, Lo Y, Idrissa A, Wilkinson J, Echols K, et al. Sling procedures after repair of obstetric vesicovaginal fistula in Niamey, Niger. Int Urogynecol J Pelvic Floor Dysfunct. 2010;21:1385–90.

    Article  Google Scholar 

  54. Murray C, Goh JT, Fynes M, Carey MP. Urinary and faecal incontinence following delayed primary repair of obstetric genital fistula. BJOG. 2002;109:828–32.

    Article  PubMed  Google Scholar 

  55. Browning A. Risk factors for developing residual urinary incontinence after obstetric fistula repair. BJOG. 2006;113:482–5.

    Article  PubMed  CAS  Google Scholar 

  56. O’Conor VJ. Nonsurgical closure of vesicovaginal fistulae. Trans Am Assoc Genito Urin Surg. 1938;31:255–8.

    Google Scholar 

  57. Davits RJAM, Miranda SI. Conservative treatment of vesicovaginal fistulas by bladder drainage alone. Br J Urol. 1991;68:155–6.

    Article  PubMed  CAS  Google Scholar 

  58. Aycinea JF. Small vesicovaginal fistula. Urology. 1977;9:543–5.

    Article  Google Scholar 

  59. Stovsky MD, Ignatoff JM, Blum MD, et al. Use of eletrocoagulation in the treatment of vesicovaginal fistulas. J Urol. 1994;152:1443–4.

    PubMed  CAS  Google Scholar 

  60. Dogra PN, Saini AK. Laser welding of vesicovaginal fistula-outcome analysis and long-term outcome: single-centre experience. Int Urogynecol J Pelvic Floor Dysfunct. 2011;22(8):981–4.

    Article  Google Scholar 

  61. Hedelin H, Nilson AE, Teger-Nilsson AC, Thorsen G. Fibrin occlusion of fistulas postoperatively. Surg Gynecol Obstet. 1982;154:366–8.

    PubMed  CAS  Google Scholar 

  62. Petersson S, Hedelin H, Jansson I, Teger-Nilsson AC. Fibrin occlusion of a vesicovaginal fistula. Lancet. 1979;1:933–4.

    Article  Google Scholar 

  63. Kanaoka Y, Hirai K, Ishiko O, Ogita S. Vesicovaginal fistula treated with fibrin glue. Int J Gyneacol Obstet. 2001;73:147–9.

    Article  CAS  Google Scholar 

  64. Sharma SK, Perry KT, Turk TM. Endoscopic injection of fibrin glue for the treatment of urinary-tract pathology. J Endourol. 2005;19:419–23.

    Article  PubMed  Google Scholar 

  65. Evans LA, Ferguson KH, Foley JP, Rozanski TA, Morey AF. Fibrin sealant for the management of genitourinary injuries, fistulas and surgical complications. J Urol. 2003;169:1360–2.

    Article  PubMed  CAS  Google Scholar 

  66. Muto G, D’Urso L, Castelli E, Formiconi A, Bardari F. Cyanoacrylic glue: a minimally invasive nonsurgical first line approach for the treatment of some urinary fistulas. J Urol. 2005;174:2239–43.

    Article  PubMed  CAS  Google Scholar 

  67. Thacker HL. Current issues in menopausal hormone replacement therapy. Cleve Clin J Med. 1996;63:344–53.

    PubMed  CAS  Google Scholar 

  68. Zimmern PE, Ganabathi K, Leach GE. Vesicovaginal fistula repair. Urol Clin North Am. 1994;2:87–97.

    Google Scholar 

  69. Wang Y, Hadley HR. Nondelayed transvaginal repair of high lying vesicovaginal fistula. J Urol. 1990;144:34–6.

    PubMed  CAS  Google Scholar 

  70. Robertson JR. Vesicovaginal fistulas. In: Slate WG, editor. Disorders of the female urethra and urinary incontinence. Baltimore: Williams and Wilkins; 1982. p. 242–9.

    Google Scholar 

  71. Persky L, Herman G, Guerrier K. Non delay in vesicovaginal fistula repair. Urology. 1979;13:273–5.

    Article  PubMed  CAS  Google Scholar 

  72. Raz S, Little NA, Juma S. Female urology. In: Walsh PC, Retik AB, Stamey TA, editors. Campbell’s urology. 6th ed. Philadelphia: Saunders; 1992. p. 2782–828.

    Google Scholar 

  73. Eliber KS, Kaveler E, Rodriguez LV, Rosenblum N, Raz S. Ten-year experience with transvaginal vesicovaginal fistula repair with tissue interposition. J Urol. 2003;169:1033–6.

    Article  Google Scholar 

  74. Nagraj HK, Kishore TA, Nagalaksmi S. Early laparoscopic repair for supratrigonal vesicovaginal fistula. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:759–62.

    Article  PubMed  CAS  Google Scholar 

  75. Melah GS, El-Nafaty AU, Bukar M. Early versus late closure of vesicovaginal fistulas. Int J Gynaecol Obstet. 2006;93:252–3.

    Article  PubMed  CAS  Google Scholar 

  76. Raz S, Bregg KJ, Nitti VW, Sussman E. Transvaginal repair of vesicovaginal fistula using a peritoneal flap. J Urol. 1993;150:56–9.

    PubMed  CAS  Google Scholar 

  77. Barnes R, Hadley H, Johnston O. Transvaginal repair of vesicovaginal fistulas. Urology. 1977;10:258–60.

    Article  Google Scholar 

  78. Little NA, Juma S, Raz S. Vesicovaginal fistulae. Semin Urol. 1989;7:78–85.

    PubMed  CAS  Google Scholar 

  79. Shaker H, Saafan A, Yassin M, Idrissa A, Mourad MS. Obstetric vesico-vaginal fistula repair: should we trim the fistula edges? A randomized prospective study. Neurourol Urodyn. 2011;30:302–5.

    Article  PubMed  Google Scholar 

  80. Safan A, Shaker H, Abdelaal A, Mourad MS, Albaz M. Fibrin glue versus martius flap interpositioning in the repair of complicated obstetric vesicovaginal fistula. A prospective multi-institution randomized trial. Neurourol Urodyn. 2009;28:438–41.

    Article  PubMed  Google Scholar 

  81. Cetin S, Tazicioglu A, Ozgur S, Ilker Y, Dalva I. Vesicovaginal fistula repair: a simple suprapubic transvesical approach. Int Urol Nephrol. 1988;20:265–8.

    Article  PubMed  CAS  Google Scholar 

  82. Gelabert A, Arango OJ, Borau A, Coronado J. Rectangular vesical flap. Exptraperitoneal suprapubic approach to close vesicovaginal fistulae. Acta Urol Belg. 1988;56:64–7.

    PubMed  CAS  Google Scholar 

  83. O’Conor VJ, Sokol JK. Vesicovaginal fistula from the standpoint of the urologists. J Urol. 1951;66:579–85.

    PubMed  Google Scholar 

  84. O’Conor VJ, Sokol JK, Bulkley GJ, Nanninga JB. Suprapubic closure of vesicovaginal fistula. J Urol. 1973;109:51–4.

    PubMed  Google Scholar 

  85. Wein AJ, Malloy TR, Greenberg SH, Carpiniello VL, Murphy JJ. Omental transposition as an aid in genitourinary reconstructive procedures. J Trauma. 1980;20:473–7.

    Article  PubMed  CAS  Google Scholar 

  86. Nezhat CH, Nezhat F, Nezhat C, Rottenberg H. Laparoscopic repair of a vesicovaginal fistula: a case report. Obstet Gynecol. 1994;83:899–901.

    PubMed  CAS  Google Scholar 

  87. Melamud O, Eichel L, Turbow B, Shanberg A. Laparoscopic vesicovaginal fistula repair with robotic reconstruction. Urology. 2005;65:163–6.

    Article  PubMed  CAS  Google Scholar 

  88. Bissada SA, Bissada NK. Repair of active radiation-induced vesicovaginal fistula using combined gastric and omental segments based on the gastroepiploic vessels. J Urol. 1992;147:1368–70.

    PubMed  CAS  Google Scholar 

  89. Salup RR, Julian TB, Linag MD, et al. Closure of large postradiation vesicovaginal fistulas with rectus abdominis myofascial flap. Urology. 1994;44:130–1.

    Article  PubMed  CAS  Google Scholar 

  90. Gil-Vernet JM, Gil-Vernet A, Campos JA. New surgical approach for treatment of complex vesicovaginal fistula. J Urol. 1989;141:513–6.

    PubMed  CAS  Google Scholar 

  91. Martius H. Die operative wiedeherstellung der volkommen fehlenden harnorohre und des schiessmuskels derselben [in German]. Zentralbl Gynakol. 1928;52:480–6.

    Google Scholar 

  92. Margolis T, Elkins TE, Seffah J, et al. Full-thickness Martius grafts to preserve vaginal depth as an adjunct in the repair of large obstetric fistulas. Obstet Gynecol. 1994;84:148–52.

    PubMed  CAS  Google Scholar 

  93. Obrink A, Bunne G. Gracilis interposition in fistulas following radiotherapy for cervical cancer: a retrospective study. Urol Int. 1978;33:370–6.

    Article  PubMed  CAS  Google Scholar 

  94. Byron Jr RL, Ostergard DR. Sartorius muscle interposition for the treatment of the radiation- induced vaginal fistula. Am J Obstet Gynecol. 1969;104:104–7.

    PubMed  Google Scholar 

  95. Stirnemann H. Treatment of recurrent recto-vaginal fistula by interposition of a gluteus maximus muscle flap. Am J Proctol. 1969;20:52–4.

    PubMed  CAS  Google Scholar 

  96. Menchaca A, Akhyat M, Gleicher N, Gottlieb L, Bernstein J. The rectus abdominis muscle flap in a combined abdominovaginal repair of difficult vesicovaginal fistulae. A report of three cases. J Reprod Med. 1990;35:565–8.

    PubMed  CAS  Google Scholar 

  97. Tancer ML. A report of 34 instances of urethrovaginal and bladder neck fistulas. Surg Gynecol Obstet. 1993;177:77–80.

    PubMed  CAS  Google Scholar 

  98. Patil U, Waterhouse K, Laungani G. Management of 18 difficult vesicovaginal and urethrovaginal fistulas with modified Ingelman-Sundberg and Martius operations. J Urol. 1980;123:653–6.

    PubMed  CAS  Google Scholar 

  99. Browning A. Lack of value of the Martius fibrofatty graft in obstetric fistula repair. Int J Gynaecol Obstet. 2006;93:33–7.

    Article  PubMed  CAS  Google Scholar 

  100. Evans DH, Madjar S, Politano VA, Bejany DE, Lynne CM, Gousse AE. Interposition flaps in transabdominal vesicovaginal fistula repairs: are they really necessary? Urology. 2001;57(4):670–4.

    Article  PubMed  CAS  Google Scholar 

  101. Ayed M, El Atat R, Hassine LB, Sfaxi M, Chebil M, Zmerli S. Prognostic factors of recurrence after vesicovaginal fistula repair. Int J Urol. 2006;13:345–9.

    Article  PubMed  Google Scholar 

  102. Muleta M, Tafesse B, Aytenfisu HG. Antibiotic use in obstetric fistula repair: single blinded randomized clinical trial. Ethiop Med J. 2010;48:211–7.

    PubMed  Google Scholar 

  103. Carr LK, Webster G. Abdominal repair of vesicovaginal fistula. Urology. 1996;48:10–1.

    Article  PubMed  CAS  Google Scholar 

  104. Jonas U, Petro E. Genito-urinary fistulas. In: Stanton SL, editor. Clinical gynecologic urology. St. Louis: Mosby; 1984. p. 238–55.

    Google Scholar 

  105. Nardos R, Browning A, Member B. Duration of bladder catheterization after surgery for obstetric fistula. Int J Gynaecol Obstet. 2008;103:30–2.

    Article  PubMed  Google Scholar 

  106. Nesrallah LJ, Srougi M, Gittes RF. The O’Conor technique: the gold standard for supratrigonal vesicovaginal fistula repair. J Urol. 1999;161:566–8.

    Article  PubMed  CAS  Google Scholar 

  107. Kristensen JK, Lose G. Vesicovaginal fistulas: the transperitoneal repair revisited. Scand J Urol Nephrol. 1994;157(Suppl):101–5.

    CAS  Google Scholar 

  108. Akman RY, Sargin S, Ozdemir G, Yazicioglu A, Cetin S. Vesicovaginal and ureterovaginal fistulas: a review of 39 cases. Int Urol Nephrol. 1999;31:321–6.

    Article  PubMed  CAS  Google Scholar 

  109. Blaivas JG, Heritz DM, Romanzi LI. Early vs late repair of vesicovaginal fistulas: vaginal and abdominal approaches. J Urol. 1995;153:1110–2.

    Article  PubMed  CAS  Google Scholar 

  110. Lewis A, Kaufman MR, Wolter CE, Phillips SE, Maggi D, Condry L, et al. Genitourinary fistula experience in Sierra Leone: review of 505 cases. J Urol. 2009;181:1725–31.

    Article  PubMed  Google Scholar 

  111. Emembolu J. The obstetric fistula: factors associated with improved pregnancy outcome after a successful repair. Int J Gynaecol Obstet. 1992;39:205–12.

    Article  PubMed  CAS  Google Scholar 

  112. Browning A. Pregnancy following obstetric fistula repair, the management of delivery. BJOG. 2009;116:1265–7.

    Article  PubMed  CAS  Google Scholar 

  113. Symmonds RE. Ureteral injuries associated with gynecologic surgery: prevention and management. Clin Obstet Gynecol. 1976;19:623–44.

    Article  PubMed  CAS  Google Scholar 

  114. Hosseini SY, Roshan YM, Safarinejad MR. Ureterovaginal fistula repair after vaginal delivery. J Urol. 1998;160:829.

    Article  PubMed  CAS  Google Scholar 

  115. Nouira Y, Oueslati H, Reziga H, Horchani A. Ureterovaginal fistulas complicating laparoscopic hysterectomy: a report of two cases. Eur J Obstet Gynecol Reprod Biol. 2001;96:132–4.

    Article  PubMed  CAS  Google Scholar 

  116. Racker DC, Braithwaiter JL. The blood supply to the lower end of the ureter and its relation to Wertheim’s hysterectomy. J Obstet Gynaecol Br Emp. 1951;58:608–13.

    Article  PubMed  CAS  Google Scholar 

  117. Tamussino K, Lang P, Breinl E. Ureteral complications with operative gynecologic laparoscopy. Am J Obstet Gynecol. 1998;178:967–70.

    Article  PubMed  CAS  Google Scholar 

  118. Mattingly RF, Borkowf HI. Acute operative injury to the lower urinary tract. Clin Obstet Gynaecol. 1978;5:123–49.

    PubMed  CAS  Google Scholar 

  119. Brown RB. Surgical and external ureteric trauma. Aust N Z J Surg. 1977;47:741–6.

    Google Scholar 

  120. Baltzer J, Kaufmann C, Ober KG, Zander J. Complications in 1,092 radical abdominal hysterectomies with pelvic lymphadenectomies. Geburtshilfe Frauenheilkd. 1980;40:1–5.

    Article  PubMed  CAS  Google Scholar 

  121. Mandal AK, Sharma SK, Vaidyanathan S, Goswami AK. Ureterovaginal fistula: summary of 18 years experience. Br J Urol. 1990;65:453–6.

    Article  PubMed  CAS  Google Scholar 

  122. Murphy DM, Grace PA, O’Flynn JD. Ureterovaginal fistula: a report of 12 cases and review of the literature. J Urol. 1982;128:924–5.

    PubMed  CAS  Google Scholar 

  123. Raghavaiah NV. Double-dye test to diagnose various types of vaginal fistulas. J Urol. 1975;112:811.

    Google Scholar 

  124. Benchekroun A, Lachkar A, Soumana A, et al. Ureterovaginal fistulas. 45 cases. Ann Urol (Paris). 1988;32:295–9.

    Google Scholar 

  125. El Ouakdi J, Jlif H, Boujnah B, Ayed M, Zmerli S. Uretero-vaginal fistula. Apropos of 30 cases. J Gynecol Obstet Biol Reprod (Paris). 1989;18:891–4.

    CAS  Google Scholar 

  126. Badenoch DF, Tiftaft RC, Thakar DR, Fowler CG, Blandy JP. Early repair of accidental injury to the ureter or bladder following gynaecological surgery. Br J Urol. 1987;59(6):516–8.

    Article  PubMed  CAS  Google Scholar 

  127. Beland G. Early treatment of ureteral injuries found after gynecological surgery. J Urol. 1977;118:25–7.

    PubMed  CAS  Google Scholar 

  128. Witeska A, Kossakowski J, Sadowski A. Early and delayed repair of gynecological ureteral injuries. Wiad Lek. 1989;42:305–8.

    PubMed  CAS  Google Scholar 

  129. Meirow D, Moriel EZ, Zilberman M, Farkas A. Evaluation and treatment of iatrogenic ureteral injuries during obstetric and gynecologic operations for non-malignant conditions. J Am Coll Surg. 1994;178:144–8.

    PubMed  CAS  Google Scholar 

  130. Onoura VC, al-Mohalhal S, Youssef AM, Patil M. Iatrogenic urogenital fistulae. Br J Urol. 1993;71:176–8.

    Article  Google Scholar 

  131. Peterson DD, Lucey DT, Fried FA. Nonsurgical management of ureterovaginal fistula. Urology. 1974;4:677–80.

    Article  PubMed  CAS  Google Scholar 

  132. Kihl B, Nilson AE, Pettersson S. Ureteroneocystotomy in the treatment of postoperative ureterovaginal fistula. Acta Obstet Gynecol Scand. 1982;61:341–6.

    PubMed  CAS  Google Scholar 

  133. Patel A, Werthman PE, Fuchs GJ, Barbaric AL. Endoscopic and percutaneous management of ureteral injuries, fistulas, obstruction, and strictures. In: Raz S, editor. Female urology. 2nd ed. Philadelphia: Saunders; 1996. p. 521–38.

    Google Scholar 

  134. Lingeman JE, Wong MY, Newmark JR. Endoscopic management of total ureteral occlusion and ureterovaginal fistula. J Endourol. 1995;9:391–6.

    Article  PubMed  CAS  Google Scholar 

  135. Lask D, Abarbanel J, Luttwak Z, Manes A, Mukamel E. Changing trends in the management of iatrogenic ureteral injuries. J Urol. 1995;154:1693–5.

    Article  PubMed  CAS  Google Scholar 

  136. Dowling RA, Corriere JN, Sandler CM. Iatrogenic ureteral injury. J Urol. 1986;135:912–5.

    PubMed  CAS  Google Scholar 

  137. Selzman A, Spirnak J, Kursh ED. The changing management of ureterovaginal fistulas. J Urol. 1995;153:626–8.

    Article  PubMed  CAS  Google Scholar 

  138. Godunov BN, Loran OB, Gazimaomedov GA, Kaprin AD. The diagnosis and treatment of ureterovaginal fistulae. Urol Nefrol (Mosk). 1997;6:44–7.

    Google Scholar 

  139. Bennani S, Joual A, El Mrini M, Benjelloun S. Ureterovaginal fistulas. A report of 17 cases. J Gynecol Obstet Biol Reprod (Paris). 1996;25:56–9.

    CAS  Google Scholar 

  140. Server G, Alonso M, Ruiz JL, Osca Garcia JM, Jimenez Cruz JF. Surgical treatment of ureterovaginal fistulae caused by gynecologic surgery. Actas Urol Esp. 1992;16:1–4.

    PubMed  CAS  Google Scholar 

  141. Falandry L. Uretero-vaginal fistulas: diagnosis and operative tactics. Apropos of 19 personal cases. J Chir (Paris). 1992;129:309–16.

    CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Urology, Department of Surgery, Santa Clara Valley Medical Center, 751 S. Bascom Avenue, San Jose, CA, 95128, USA

    Christopher S. Elliott

  2. Department of Urology, Stanford University Medical School, Stanford, CA, USA

    Craig Comiter

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  1. Christopher S. Elliott
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  2. Craig Comiter
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Correspondence to Christopher S. Elliott .

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  1. School of Medicine, Harborview Medical Center, University of Washington, 1959 NE Pacific Street Box 356510, Seattle, 98195, Washington, USA

    Hunter Wessells

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Elliott, C.S., Comiter, C. (2013). Vesicovaginal Fistula and Ureteral Injury During Pelvic Surgery. In: Wessells, H. (eds) Urological Emergencies. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-423-4_20

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