Ureteroneocystostomy for Ureterovaginal Fistula

Bettaiah Ramesh¹ · Shruti Paliwal¹

Bettaiah Ramesh, MD, DGO, FCPS, DFP, FICOG, Dr Ramesh Hospital, Obstetrics and Gynecology, Altius Hospital; Shruti Paliwal, MBBS, MS, Dr Ramesh Hospital, Obstetrics and Gynecology, Altius Hospital. Both the authors have together managed and formulated the publication

✉Shruti Paliwal
shrutipaliwal.paliwal@gmail.com
1 Dr Ramesh Hospital, Altius Hospital, Obstetrics and Gynecology, 6/63, 59th Cross, 4th Block, Rajaji Nagar, Opp to Mei Polytechnic, Near Ram Mandir, Bengaluru, Karnataka, India

About the Author

Dr. Ramesh, is a pioneer in Laparoscopic gynecological surgeries in India with a significant presence in clinical and academic circles all over India. He has conducted live surgical workshops and possesses expertise in the treatment of severe endometriosis, laparoscopic vesicovaginal fistula repair, laparoscopic tubal recanalization, removal of a submucous fibroid, septum resection, TCRE, and hysteroscopic adhesiolysis. He is specialized in urinary incontinence treatment, SUI surgeries like a TOT, TVT, MiniArc, vaginal vesicovaginal fistula repair, and laparoscopic sacrocolpopexy for vault prolapse. He has performed 25,000 major gynec laparoscopic surgeries and more than 4000 laparoscopic hysterectomies. He has expertise in various laparoscopic sling procedures for nulliparous prolapse, hysteroscopic surgeries for the uterine septum, tubal cannulation, adhesiolysis, and all methods of endometrial ablation including TCRE and laser ablation, as alternatives to hysterectomy.

A patient had undergone total laparoscopic hysterectomy for abnormal uterine bleeding. After 14 days, the patient had complaint of urinary leak per vaginum. This pictorial assay describes the procedure of ureteroneocystostomy by the psoas hitch method for ureterovaginal fistula. Post-repair patient recovery was uneventful. The DJ stent was removed after 6 weeks (Figs. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12).

Compliance with ethical standards

Conflict of interest Authors declare that they have no conflict of interest.

Informed consent Patient’s consent was taken and attached.

Human and animal rights Research did not involve animals. Research complied with ethical standards of study on human subjects. Permission was taken from Dr Ramesh Hospital ethical committee.