What Is a Ureteral Fistula?

Ureteral vaginal fistula repair is used for ureteral vaginal fistula. Uterine vaginal fistulas often occur after gynecological surgery, such as total hysterectomy and radical cervical cancer surgery. Appeared 1 to 2 days after surgery, mostly because the lower ureter was directly injured by surgery, and it was not detected and treated in time. After 8 to 14 days after surgery, the lower part of the ureter was excessively free, which damaged its blood supply or Severe pelvic infection after surgery caused necrosis of the lower ureter.

Basic Information

Chinese name: Ureteral vaginal fistula repair
Related diseases: Ureteral vaginal fistula

Specialty classification: Obstetrics and Gynecology
Indication: Ureteral vaginal fistula
Postoperative complications: Difficulty urinating

Anesthesia method for ureteral vaginal fistula repair

Saddle anesthesia or epidural anesthesia.

Preoperative preparation for ureteral vaginal fistula repair

Clean the vagina and use intestinal antibiotics 3 days before the operation.

Indications for ureteral vaginal fistula repair

Ureteral vaginal fistula.

Uretero-vaginal fistula repair procedure

Submucosal tunneling method

The general procedure is to expose the ureter; the submucosal tunnel; the ureteral implant;

2. ureteral bladder anastomosis

The general steps of the operation are: ureteral treatment; bladder valve formation; bladder valve submucosal tunnel formation; suture the bladder valve;

Postoperative complications of ureteral vaginal fistula repair

Difficulty urinating.

Postoperative care of ureteral vaginal fistula repair

1. The drainage tube in the surgical field was removed 3 to 4 days after surgery.

2. Stay in the catheter for 12 to 14 days. Once blocked or detached, the urinary tube should be replaced or reinserted immediately. The ureteral stent was removed in January.

3. Use antibiotics.