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Ureterovaginal fistula: A complication of a vaginal foreign body

Lo TS 1 , Jaili SB 2 , Ibrahim R 3 , Kao CC 4 , Uy-Patrimonio MC 5

Affiliations 

  • 1 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei Medical Center, Taipei, Taiwan, Republic of China; Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, Republic of China; Chang Gung University, School of Medicine, Taoyuan, Taiwan, Republic of China. Electronic address: 2378@cgmh.org.tw
  • 2 Department of Obstetrics and Gynecology, Hospital Umum, Sarawak, Malaysia; Fellow of the Division of Urogynecology, Department of Obstetrics & Gynecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, Republic of China
  • 3 Fellow of the Division of Urogynecology, Department of Obstetrics & Gynecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Al-Bashir Hospital, Amman, Jordan
  • 4 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan, Republic of China
  • 5 Fellow of the Division of Urogynecology, Department of Obstetrics & Gynecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Dr. Pablo O. Torre Memorial Hospital, Bacolod City, Philippines
Taiwan J Obstet Gynecol, 2018 Feb;57(1):150-152.
PMID: 29458888 DOI: 10.1016/j.tjog.2017.12.026

Abstract

OBJECTIVE: To know the diagnostic tools and proper management of ureterovaginal fistula following neglected vaginal foreign body in order to achieve optimal outcome.

CASE REPORT: A case of ureterovaginal fistula associated with a neglected vaginal foreign body. The patient was complaining of a foul-smelling vaginal discharge and lower abdominal pain. On vaginal examination, a hard and large foreign body was found. Examination under anesthesia was performed, and an aerosol cap was removed from her vagina. The patient developed urinary incontinence after removal of the foreign body. Subsequent work-up demonstrated the presence of a right ureterovaginal fistula. The patient underwent an abdominal ureteroneocystostomy. At one year follow up, the patient had fully recovered.

CONCLUSION: Ureterovaginal fistula following neglected vaginal foreign body is a serious condition. Early diagnosis, treatment of infection and proper surgical management can improve the outcome and decrease complications.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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