Skip to main content
SpringerLink
Log in

Uretero-Uterine Fistula: A Rare Morbidity Following Lower Segment Caesarean Section

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

The ureter due to its proximity to the female genital tract and involvement in local pathologies is susceptible to inadvertent iatrogenic injury during pelvic surgeries. The risk of ureteral injury is highest during gynaecological surgeries and lowest during caesarean sections. Uretero-uterine fistula (UUF) consequent to such inadvertent obstetrical injuries is a rarity. We report three cases of uretero-uterine fistulas, by far the largest series reported, and review the available literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Buchholz NP, Daly-Grandeau E, Huber-Buchholz MM (1994) Urological complications associated with caesarean section. Eur J Obstet Gynecol Reprod Biol 56:161–163

    Article  CAS  Google Scholar 

  2. Adhikary S, Devasia A, Gnanaraj L, Chacko N (2005) Uretero-uterine fistula following dilatation and curettage. Aust N Z J Obstet Gynaecol 45(1):90

    Article  Google Scholar 

  3. Al-Shukri S, Alwan MH, Lafi MO (1983) Uretero-uterine fistula as complication of ureteric calculus. Br J Urol 55:242

    Article  CAS  Google Scholar 

  4. Nabi G, Hemal AK, Kumar M (2000) M S Ansari. LND Dorairajan; Diagnosis and management of post-caesarean ureterouterine fistulae. Int Urogynecol J 11:389–391

    Article  CAS  Google Scholar 

  5. Kumar S, Barapatre YR, Ganesamoni R, Nanjappa B, Barwal K, Singh SK (2011) Laparoscopic management of a rare urogenital fistula. J Endourol 25(4):603–606

    Article  Google Scholar 

  6. Suhler A, Sout R (1971) A case of ureterouterine fistula after cesarean section. J Urol Nephrol (Paris) 77(10):833–838

    CAS  Google Scholar 

  7. El-Mahgoub S, El-Zeniny (1971) Ureterouterine fistula after cesarean section. Am J Obstet Gyenecol 110(6):881–882

    Article  CAS  Google Scholar 

  8. Moussu J, Boulaire JL, Petit J (1980) Uretro-uterine fistula after cesarean section, A report on one case. J Urol (Paris) 86(9):691–694

    CAS  Google Scholar 

  9. Alonso Gorrea M, Fernandez Zuazu J, Mompo Sanchis JA, Jimenez-Cruz JF (1985) Spontaneous healing of uretero-vesico-vaginal fistulas. Eur Urol 11(5):341–343

    Article  CAS  Google Scholar 

  10. Docquier J (1986) A case of uretero-uterine fistula following cesarean section treated by ureterouretostomy. Acta Urol Belg 54(1):57–59

    CAS  PubMed  Google Scholar 

  11. Pernin F, Fanton Y, Dufour B (1993) Uretero-uterine fistula diagnostic and therapeutic management. Rev Fr Gyenecol Obstet 88(12):599–602

    CAS  Google Scholar 

  12. Saltutti C, Di Cello V, Costanzi A, Bartoletti R, Dedola G, Rizzo M (1994) Ureterouterine fistula as a complication of cesarean section. J Urol 152(4):1199–1200

    Article  CAS  Google Scholar 

  13. Lanary KA, Hashim H, Iacovou J (2008) Ureterouterine fistula post caesarean section: a case report. Cases J 1:253

    Article  Google Scholar 

  14. Wang AC, Hung CF (1997) Endourologic diagnosis and treatment of ureterouterine fistula. Int Urogynecol J 8(3):164–167

    Article  CAS  Google Scholar 

  15. Lazarevski MB, Badiev B (1996) Obstetric ureterouterine fistula: a case report. Am J Obstet Gynecol 174(5):1657–1658

    Article  CAS  Google Scholar 

  16. Sheen JH, Lin CT, Jou YC, Cheng MT (1998) A simple means of making the diagnosis of oretero-uterine and vesico-uterine fistula. J Urol 160:1420–1421

    Article  CAS  Google Scholar 

  17. Iqbal S, Nabi G, Kumar R, Hemal AK (2001) Endourologic management of obstetrical ureterouterine fistula: case report and review of literature. J Endourol 15(10):985–988

    Article  Google Scholar 

  18. Koziak A, Marcheluk A, Szcześniewski R, Dorobek A, Kania P, Dmowski T (2004) Uretero-uterine fistula as complication of the cesarean section. Ginekol Pol 75(12):959–962

    PubMed  Google Scholar 

  19. Asha O, Sen SB, Nayak PN (1980) Ureterouterine fistula in obstetrics, report of three cases. Int J Gynecol Obstet 18:258–263

    Article  Google Scholar 

  20. Eastman MJ, Hellman IM (1966) Williams’Obstetrics, vol 234, 13th edn. Amarind Publishing, New York

    Google Scholar 

  21. Eisenkop SM, Richman R, Platt LD, Paul RH (1982) Urinary tract injury during cesarean section. Obstet Gynecol 60(5):591–596

    CAS  PubMed  Google Scholar 

  22. Kajbafzadeh AM (1997) Uretero-uterine fistula as a complication of caesarean section: successful ureteroscopic management. Br J Urol 80:834–835

    Article  CAS  Google Scholar 

  23. Levy L (2012) Pickersgil An early presentation of uretero-uterine fistula post cesarean section. J Obstetr Gyenecol 32(7):706–715

    Article  CAS  Google Scholar 

  24. Ramalingam M, Senthil K, Venkatesh V (2005) Laparoscopic repair of ureterovaginal fistula: successful outcome by laparoscopic ureteral reimplantation. J Endourol 19(10):1174–1176

    Article  CAS  Google Scholar 

  25. Glenn Hurt W (2007) Gynecologic injury to the ureters, bladder, and urethra: prevention, recognition, and management. In: Walters MD, Karram MM (eds) Urogynecology and Reconstructive Pelvic Surgery, 3rd edn. Mosby, pp 436–444

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Karnataka Institute of Medical Sciences, Hubballi, 580024, India

    Ratkal J. M., V. Barekar, D. Sonavane & R. Raykar

Authors
  1. Ratkal J. M.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. V. Barekar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. Sonavane
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R. Raykar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ratkal J. M..

Ethics declarations

Informed Consent

A written informed consent was obtained from the patient before publishing.

Conflict of Interest

None declared.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ratkal, J., Barekar, V., Sonavane, D. et al. Uretero-Uterine Fistula: A Rare Morbidity Following Lower Segment Caesarean Section. Indian J Surg 84, 63–66 (2022). https://doi.org/10.1007/s12262-021-02813-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-021-02813-2

Keywords

Search

Navigation