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Delayed presentation of complete ureteral obstruction deligated transvaginally

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Abstract

Complete ureteral obstruction with delayed presentation is managed first by percutaneous nephrostomy and later with ureteral deligation, reimplantation, and stenting. Transvaginal deligation of complete obstruction after delayed presentation has not been described. We present two cases of ureteral ligation after pelvic reconstructive surgery. The first patient underwent high uterosacral ligament vaginal vault suspension then presented on postoperative day 22. The second patient underwent anterior colporrhaphy and presented on postoperative day 6. Both patients had flank pain, elevated creatinine, and signs of complete obstruction on CT scan. They both underwent transvaginal ureterolysis, retrograde stent placement, and later removal without any sequelae. Transvaginal ureterolysis of complete obstruction after delayed presentation is better tolerated and less morbid than traditional management.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Section of Female Pelvic Medicine and Reconstructive Surgery, Loma Linda University Medical Center, 11234 Anderson Street, LLHC/Concord Building, Ste. E, Loma Linda, CA, 92350, USA

    Sam Siddighi

  2. Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Pelvic Reconstructive Surgery, Scott and White Hospital and Clinic, Texas A&M College of Medicine, Texas, TX, USA

    Paul M. Yandell

  3. The Christ Hospital, University of Cincinnati, 2123 Auburn Avenue, Ste. 307, Cincinnati, OH, 45219, USA

    Mickey M. Karram

Authors
  1. Sam Siddighi
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  2. Paul M. Yandell
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  3. Mickey M. Karram
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Correspondence to Sam Siddighi.

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Siddighi, S., Yandell, P.M. & Karram, M.M. Delayed presentation of complete ureteral obstruction deligated transvaginally. Int Urogynecol J 22, 251–253 (2011). https://doi.org/10.1007/s00192-010-1267-1

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  • DOI: https://doi.org/10.1007/s00192-010-1267-1

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