The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
Case Reports
A CASE OF URETEROUTERINE FISTULA AFTER CAESAREAN SECTION
Shinichiro YamamotoToshiyuki YoshidaSho HashimotoShogo TakadaFuminori SakuraiYutaro HoriYasutaka MurataSho OnoTsuyoshi YoshizawaTsuyoshi MatsuiKatsuhiko SatoJunichi MochidaKenya YamaguchiSatoru Takahashi
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2017 Volume 108 Issue 4 Pages 234-237

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Abstract

The reported incidence rate of iatrogenic ureteral injury is 0.5 to 3% among abdominal surgery. We report a case of ureterouterine fistula after caesarean section. A 38-year-old woman visited our department with a complaint of urinary incontinence without dry time after caesarean section. Several examinations revealed right ureterouterine fistula.

Ureteroneocystostomy using psoas hitch and hysterectomy was performed. We found a firm adhesion and stitches around right lower ureter over the uterus, which lead to an additional hysterectomy. After surgery, urinary incontinence had improved. Following two years after surgery, we observed no urinary incontinence or renal dysfunction.

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© 2017 Japanese Urological Association
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