medigraphic.com
ISSN 2305-7939 (Electronic)

2016, Number 2

<< Back Next >>

RCU 2016; 5 (2)

Therapeutic evaluation of ureterovaginal fistulae

López TU, Barrero CR, Milián ER, Caravia PI, Collazo AS, Caravia BF

Language: Spanish
References: 30
Page:
PDF size: 244.32 Kb.


ABSTRACT

Introduction: Ureterovaginal fistulae are placed in the second position among the complications of gyneco-obstetric surgery. A Study about the prevalence at "Enrique Cabrera Cossio" and an updated review of the subject was performed.
Objective: To evaluate the results obtained in the treatment of patients with ureterovaginal fistula due to complications of gyneco-obstetric surgery.
Methods: A descriptive cross-sectional study was performed in 15 patients with a diagnosis of ureterovaginal fistulas between January 2003 to December 2013, admitted in the hospital with ureterovaginal fistulae from complications of obstetric and gynecological surgery. It was drawn up a database with statistical processing program SPSS version 13.0. The variables considered were; age, cause of surgery, place of the ureteral injury, technique used in the solution of UVF and complications presented.
Results: 50 % of the patients were under 50 years and the most frequent gynecological cause was uterine fibroids, the uretovaginal fistulae was seen in 80 % of abdominal surgery. The most common site of injury was the lower third of the ureter and ureteral re-implantation was performed using Paquín's technique in 86.7 % of cases without observing complications.
Conclusions: Surgical corrections of the uerterovaginal fistulae have good evolution when they are diagnosed and treated properly. An actualization in the pathology was made.


REFERENCES

  1. Stoica RA, Enache T, Iordache N. Intra operative lesion of the pelvic ureter solved in a minimally invasive manner. J Med Life. 2014 Sep 15 [citado octubre de 2015];7(3):396-8. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4233447/

  2. Campbell-Wash. Tenth edition. International Edition, 2012. Chapter 42. Philadelphia Inc. [citado: septiembre 2015]. Disponible en: http:// MedicoModerno.Blogspot.cm

  3. Taneja SS: Complications of Urological Surgery. Prevention and Manegement. Fourth edition, 2010. Sander Philadelphia: Elsevier; p. 271.

  4. Wong MJ, Wong K, Rezvan A, Tate ABhatia, Yazdany T. Urogenital fistula. Female Pelvic Med Reconstr Surg. 2012 Mar-Apr;18(2):71-8. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22453314

  5. Lee JS, Choe JH, Lee HS, Seo JT. Urologic complications following obstetric and gynecologic surgery. Korean J Urol. 2012;3:795-9.

  6. Frankman EA, Wang L, Bunker CH, Lowder JL. Lower urinary tract injury in women in the United States, 1979-2006. Am J Obstet Gynecol. 2010;202:495.e1-5.

  7. Ozdemir E, Ozturk U, Celen S, Sucak A, Gunel M, Guney G, et al. Urinary complications of gynecologic surgery: iatrogenic urinary tract system injuries in obstetrics and gynecology operations. Clin Exp Obstet Gynecol. 2011;38:217-20.

  8. Popoola AA, Fawole AA, Oseni I, Abiola O, Asiwaju-Dada O, Adekanye EA. Ureterovaginal fistula resulting from uterine dilatation and curettage for an incomplete abortion: a case report. Niger Postgrad Med J. 2014 Dec;21(4):353-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22035812

  9. Al-Otaibi KM. Ureterovaginal fistulas: The role of endoscopy and a percutaneous approach. Urol Ann. 2012;4:102-5.

  10. Ou CS, Huang UC, Tsuang M, Rowbotham R. Laparoscopic repair of vesicovaginal fistula. J Laparoendosc Adv Surg Tech A. 2004;14:17.

  11. Schimpf MO, Morgenstern JH, Tulikangas PK, Wagner JR. Vesicovaginal fistula repair without intentional cystotomy using the laparoscopic robotic approach: a case report. JSLS. 2007;1(3):378-80.

  12. Kerkebe M, Bley E, Pizzi P, Falcón C, Iturriaga C. Candia W, et al. Reparación Laparoscópica de Fístula Vesicovaginal mediante técnica Retrovesical: Una serie de 6 pacientes. Rev Chil Obstet Ginecol. 2009;74(1):30-5.

  13. Zinman L, Libertino JA. Techniques in the management of the recurrent vesicovaginal fistula. Surg Clin North Amer. 2006;53:479.

  14. Martínez JA, Hernández-Castellanos V, Fernández-Noyola G, Ahumada-Tamayo S, Fulda-Graue S, Pérez-Becerra R, et al. Fístulas vesico-vaginales; diagnóstico y manejo; experiencia de 20 años. Rev Mex Urol. 2011;71(4):200-6.

  15. Vasavada SP, Rackley R, GrassoIII M. Vesicovaginal and ureterovaginal fistula. 2011. [actualizado 14 septiembre 2011; citado 13 abril 2012]. Disponible en:http://emedicine.medscape.com/article/452934-overview

  16. Yu S,Wu H,Xu L,Li G, Zhang Z. Early surgical repair of iatrogenic ureterovaginal fistula secondary to gynecologic surgery. Int J Gynaecol Obstet. 2013 Nov [citado noviembre 2012];123(2):135-8. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23972957

  17. Rao D,Yu H,Zhu H, Duan P. The diagnosis and treatment of iatrogenic ureteral and bladder injury caused by traditional gynaecology and obstetrics operation. Arch Gynecol Obstet. 2012 Mar;285(3):763-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21909750

  18. Demirci U, Fall M,Göthe S, Stranne J, Peeker R. Urovaginal fistula formation after gynaecological and obstetric surgical procedures: clinical experiences in a Scandinavian series. Scand J Urol. 2013 Apr;47(2):140.

  19. Tsivian M Jr, Tsivian M, Sidi AA, Tsivian A. Uretero-vesico-cervical fistula following a caesarean section: a unique case report. Int Urogynecol J.2012 Nov;23(11):1639- 41.

  20. Odzébé AW, Otiobanda F, GItoua C, Mahoungou-Guimbi K, Banga MR, Andzin M, Ondongo-Atipo M,Ondzel S, Avala P. Urological complications of gynecologic surgery. Prog Urol. 2011 Nov;21(12):875-8. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22035914

  21. Dass AK, Lo TS, Khanuengkitkong S, Tan YL. A delayed type of Ureteric injury developed after transobturator mesh procedure for massive prolapse. Female Pelvic Med Reconstr Surg.2013 May-Jun; 19(3):179-80. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23611938

  22. Göktaş C, Horuz R, Faydacı G,C Çetinel A, Akça O, Albayrak S. Treatment of urogenital fistula in women. Actas Urol Esp. 2012 Mar;36(3):191-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21802786

  23. Raassen TJ, Ngongo CJ, Mahendeka MM. Iatrogenic genitourinary fistula: an 18- year retrospective review of 805 injuries. Int Urogynecol J. 2014 Dec;25(12):1707.

  24. Montoya Martínez G, Ledesma Rodríguez AG, Serrano Brambila E, Moreno Palacios J. Fístula vesicovaginal: abordaje abierto abdominal versus laparoscópico. Ginecol Obstet Mex. 2013;81:587-92.

  25. Osorio Acosta VA. Fístulas urinarias. La Habana: Editorial Ciencias Médicas; 2006.

  26. Rajamaheswari N, Chhikara AB, Seethalakshmi K. Management of ureterovaginal fistulae: an audit. Int Urogynecol J. 2013 Jun [citado diciembre 2012];24(6):959-62. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23093322

  27. Evans JM ,Karram MM,Mahdy A, Robertshaw D. Urinary tract injury at the time of laparoscopic and robotic surgery: presentation and management. Female Pelvic Med Reconstr Surg. 2013 Jul-Aug;19(4):249-52. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23797527

  28. Mohammad W, Fode MM, Azawi NH Treatment of ureterovaginal fistula using a Memokath catéter. BMJ Case Rep. 2014 Dec 19. [Acceso diciembre 2013]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25527688

  29. Roslan M, Markuszewski M. Transvesical laparoendoscopic single-site approach for repair of urinary tract injuries after vaginal or pelvic surgery. Ginekol Pol. 2014 Apr;85(4):272-7

  30. McAchran SE, Paolone DR. The iatrogenic ureterovaginal fistula. Urology. 2013 Jun [citado noviembre 2012];81(6). Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23506729




2020     |     www.medigraphic.com