Ureterovaginal fistula linked to a retained pessary

Fridman Dmitry, Sleemi Ambereen

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The vaginal pessary is a safe and effective method for the correction of uterovaginal prolapse. Complications are uncommon, but include fistula formation. We report a case of fistulous communication between the ureter and vagina that developed in a patient who had had a pessary for more than 8 years. She initially presented with urinary retention secondary to complete procidentia and declined surgical intervention. The patient was not compliant with follow-up. Eventually, she was scheduled for a vaginal hysterectomy and pelvic floor reconstruction, during which the communicating tract was discovered between the ureter and vagina. Ultimate treatment involved stenting of the ureter and interval ureteroneocystostomy. Fistulae can develop between the ureter and the vagina in the case of procidentia and a retained pessary.

Original languageEnglish (US)
Pages (from-to)1283-1285
Number of pages3
JournalInternational Urogynecology Journal
Volume25
Issue number9
DOIs
StatePublished - Sep 1 2014

Fingerprint

Pessaries
Ureter
Fistula
Vagina
Vaginal Hysterectomy
Pelvic Floor
Urinary Retention
Prolapse
Communication

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

Cite this

Ureterovaginal fistula linked to a retained pessary. / Dmitry, Fridman; Ambereen, Sleemi.

In: International Urogynecology Journal, Vol. 25, No. 9, 01.09.2014, p. 1283-1285.

Research output: Contribution to journalArticle

Dmitry, Fridman ; Ambereen, Sleemi. / Ureterovaginal fistula linked to a retained pessary. In: International Urogynecology Journal. 2014 ; Vol. 25, No. 9. pp. 1283-1285.
@article{76ad42f923b44e22a997946a26e06f4c,
title = "Ureterovaginal fistula linked to a retained pessary",
abstract = "The vaginal pessary is a safe and effective method for the correction of uterovaginal prolapse. Complications are uncommon, but include fistula formation. We report a case of fistulous communication between the ureter and vagina that developed in a patient who had had a pessary for more than 8 years. She initially presented with urinary retention secondary to complete procidentia and declined surgical intervention. The patient was not compliant with follow-up. Eventually, she was scheduled for a vaginal hysterectomy and pelvic floor reconstruction, during which the communicating tract was discovered between the ureter and vagina. Ultimate treatment involved stenting of the ureter and interval ureteroneocystostomy. Fistulae can develop between the ureter and the vagina in the case of procidentia and a retained pessary.",
author = "Fridman Dmitry and Sleemi Ambereen",
year = "2014",
month = "9",
day = "1",
doi = "10.1007/s00192-014-2328-7",
language = "English (US)",
volume = "25",
pages = "1283--1285",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",
number = "9",

}

TY - JOUR

T1 - Ureterovaginal fistula linked to a retained pessary

AU - Dmitry, Fridman

AU - Ambereen, Sleemi

PY - 2014/9/1

Y1 - 2014/9/1

N2 - The vaginal pessary is a safe and effective method for the correction of uterovaginal prolapse. Complications are uncommon, but include fistula formation. We report a case of fistulous communication between the ureter and vagina that developed in a patient who had had a pessary for more than 8 years. She initially presented with urinary retention secondary to complete procidentia and declined surgical intervention. The patient was not compliant with follow-up. Eventually, she was scheduled for a vaginal hysterectomy and pelvic floor reconstruction, during which the communicating tract was discovered between the ureter and vagina. Ultimate treatment involved stenting of the ureter and interval ureteroneocystostomy. Fistulae can develop between the ureter and the vagina in the case of procidentia and a retained pessary.

AB - The vaginal pessary is a safe and effective method for the correction of uterovaginal prolapse. Complications are uncommon, but include fistula formation. We report a case of fistulous communication between the ureter and vagina that developed in a patient who had had a pessary for more than 8 years. She initially presented with urinary retention secondary to complete procidentia and declined surgical intervention. The patient was not compliant with follow-up. Eventually, she was scheduled for a vaginal hysterectomy and pelvic floor reconstruction, during which the communicating tract was discovered between the ureter and vagina. Ultimate treatment involved stenting of the ureter and interval ureteroneocystostomy. Fistulae can develop between the ureter and the vagina in the case of procidentia and a retained pessary.

UR - http://www.scopus.com/inward/record.url?scp=85027949959&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027949959&partnerID=8YFLogxK

U2 - 10.1007/s00192-014-2328-7

DO - 10.1007/s00192-014-2328-7

M3 - Article

C2 - 24525663

AN - SCOPUS:85027949959

VL - 25

SP - 1283

EP - 1285

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

IS - 9

ER -