URETEROVAGINAL FISTULA - SUMMARY OF 18 YEARS EXPERIENCE

Summary— Ureterovaginal fistula is an uncommon complication of pelvic operations. We report 31 such cases seen over an 18‐year period, all of which followed surgery for benign gynaecological conditions. Most patients had no urinary symptoms until the sudden onset of incontinence 1 to 4 weeks post‐operatively. Diagnosis was established by a combination of intravenous urography, cystography, cystoscopy, retrograde ureteropyelography and dye studies. Twenty‐nine patients underwent ureteroneocystostomy, 10 with a Boari flap and 19 by a direct method; fistulas healed in 2 patients following conservative treatment. Renal salvage was achieved in all cases. © 1990 British Journal of Urology