Management of Ureterovaginal Fistula / 대한비뇨기과학회지

ABSTRACT

Eighteen patients with ureterovaginal fistula were managed at Seoul National University Hospital during the recent 8 years. The operations which led to the formation of the fistula were for cervical cancer in 10 and for the benign pelvic disease in 8. All patients experienced sudden increase of drain amount or incontinence during the postoperative period. Diagnosis was established readily by IVP, cystoscopy and RGP. Six patients were managed primarily by percutaneous nephrostomy, 4 of whom received corrective surgery 6 months later. Four patients received corrective surgery primarily. Two patients were under surve-illence only and 6 patients received nephrectomy. Current trend of management of ureteral injury was discussed.