[Uretero-vaginal fistula: technique of the loosed ureteral catheter in the retroperitoneum for the individualization of the distal ureteral segment]

ABSTRACT

The uretero - vaginal fistula are rare and mostly iatrogenic. The diagnosis is easy since all the signs are collected and lot of therapeutic modalities were described in the literature. it's a patient of 40 years old who present urinary leak one week after a haemostatic hysterectomy for uterine rupture. She was surgically treated with uretero - ureteral anastomosis with easier individualization of the distal ureteral segment by using the technique of the loosed ureteral catheter in the retropenitoneum. This technique allows end to end uretero-ureterostomy conserving the physiologic antireflux system and avoiding the complications of the ureterovesical reimplantations