A 42-year-old woman underwent total hysterectomy for multiple myoma uteri. Postoperatively the patient complained of lower abdominal pain and total incontinence. She had also developed left-sided hydronephrosis. Left nephrostomy was constructed and necessary investigations were done. It was diagnosed as a case of left ureteral injury with vesico-vaginal fistula. Repair of vesico-vaginal fistula and reimplantation of the left ureter were performed in a single setting three months after the injury. Subsequently, the nephrostomy was removed. Hydronephrosis was improved with an excellent outcome of fistula repair.

Abdominal Pain/etiology/therapy; Adult; Female; Humans; Hydronephrosis/therapy; Hysterectomy; Iatrogenic Disease; Leiomyoma/surgery; Neoplasms, Multiple Primary/surgery; Nephrostomy, Percutaneous; Treatment Outcome; Ureter/injuries/surgery; Urinary Incontinence/etiology/therapy; Uterine Neoplasms/surgery; Vesicovaginal Fistula/surgery; departmental bulletin paper

Japanese

YJ@ oai:repository.kulib.kyoto-u.ac.jp:2433/114884
0018-1994
AN00208315
48
12
745
747
12613009
0018-1994
Acta urologica Japonica
Hinyokika Kiyo
957863240

KYOTO UNIV
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