Abstract
A ureterovaginal fistula is an abnormal communication between the ureter and vagina. This condition is rarely congenital, resulting from an ectopic ureteral insertion into the vagina. More often a ureterovaginal fistula is acquired, most commonly resulting from a transmural injury to the ureter sustained during pelvic surgery. Distal ureteral obstruction causes continued urinary extravasation and failure of the ureteral defect to heal. Gynecological surgery is the most common cause of ureterovaginal fistulae, particularly after total abdominal hysterectomy for benign or malignant disease.1 The ureter is particularly susceptible to injury during pelvic surgery because it courses close to the rectum and the female reproductive organs in the pelvis. In fact, ureteral injury has been reported to occur in 0.5%–1% of all pelvic surgeries,2 and in 1.4%–2% of patients undergoing radical hysterectomy.3,4
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Comiter, C.V., Vasavada, S.P., Raz, S. (2003). Ureterovaginal Fistula. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_20
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DOI: https://doi.org/10.1007/978-1-4471-0659-3_20
Publisher Name: Springer, London
Print ISBN: 978-1-85233-362-1
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