A Case Report: Management Obstetric Ureterocervicovaginal Fistula with Psoas Hitch Technique

1Ary Rizqi Rachman, Trika Irianta, Nugraha Utama Pelupessy

134 Views
53 Downloads
Abstract:

Urogenital fistula is one of the causes of women’s decreasing quality of life. The woman's inability to urinate normally will greatly disrupt the life of the woman herself throughout her life if it does not receive serious attention. The prevalence of fistulas is 1 in 1000 women and the largest in developing countries. It is associated with labor, pelvic organ malignancies, radiation and complication of operation. Mrs. M, 32 years old, Parity 2 Abortus 1, came with chief complaint of urinary seeping from the genitals for three months. She had history of cesarean section surgery 3 months ago. The results of the methylene blue test were negative. Abdominal CT Scan with Contrast were performed and left hydronephureter with urethritis were found. We diagnosed ureterocervicovaginal fistula. During surgery, ureterocervicovaginal fistula was found on the left and abdominal ureteroneocystotomy was performed with Psoas Hitch technique and Lich Gregoir technique. There were no postoperative complications and recurring complaints related to urinary incontinence and the result of Abdominal CT scan with Contrast after 2 month did not show contrast extravasation of the left ureter. Psoas Hitch Technique is one of the managements in case of ureterocervicovaginal fistula.

Keywords:

Ureterocervicovaginal Fistula, Psoas Hitch Technique

Paper Details
Month3
Year2020
Volume24
IssueIssue 3
Pages3875-3882