Van Med J. 2012; 19(2): 83-85

Spontaneous Improvement Of Ureterovaginal Fistula: A Case Report

Mustafa Güneş¹, Ilhan Geçit², Necip Pirinçci², Kerem Taken⁴, Kadir Ceylan⁵, Ozcan Canbey², Recep Eryılmaz^7
1Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
²Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
³Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
⁴Urology Clinic of Van State Hospital, Van/Turkey
⁵Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
⁶Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
⁷Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey

A 35 years old women was admitted to the urology department due to vaginal urinary incontinence. 21 days after a simple abdominal hysterectomy Cystoscopy showed no abnormality, and no leakage was observed when the bladder was filled with methylene. We tried to insert a catheter into the left ureter but could not manage to go further than 2.5 cm. Then, methylene blue was given through the catheter and this time leakage was observed throughout the vagina. Intravenous pyelography (IVP) showed left distal ureteral obstruction. Watchfull waiting was the only choice since she refused surgical treatmen. It was observed that 5 days after the diagnosis, ureterovaginal fistula recovered spontaneously.

Keywords: Ureterovaginal fistula, treatment, hysterectomy

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Kendiliğinden Düzelen Üreterovaginal Fistül: Bir Olgu Sunumu

Mustafa Güneş¹, Ilhan Geçit², Necip Pirinçci², Kerem Taken⁴, Kadir Ceylan⁵, Ozcan Canbey², Recep Eryılmaz^7
1Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Van
²Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
³Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
⁴Urology Clinic of Van State Hospital, Van/Turkey
⁵Yüzüncü Yıl Üniversitesi Tıp Fakültesi Üroloji Anabilim Dalı, Van
⁶Yuzuncu Yil University, Medical Faculty, Department of Urology, Van/Turkey
⁷Yüzüncü Yıl Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum AD, Van

35 yaşında kadın hasta basit histerektomiden 21 gün sonra idrar kaçırma şikayeti ile başvurdu. Sistoskopi sırasında mesaneye metilen mavisi verildiğinde vajenden gelmediği gözlendi. Takiben sol üretere kateter takılmaya çalışıldı fakat 2.5 cm takıldı. Kateterden verilen metilen mavisinin vajenden geldiği gözlendi.. Çekilen intravenöz piyelografide (İVP) sol distal üreterde obstrüksiyon gözlendi. Hasta ameliyatı kabul etmediği için takibe alındı. Tanı konulduktan 5 gün sonra ise idrar kaçırma şikayeti kendiliğinden düzeldi..

Anahtar Kelimeler: Üretererovaginal fistül, tedavi, histerektomi

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