Ureterovesical Fistula Post Vaginal Hysterectomy - Managed by Laparoscopic Ureteroneocystostomy with Psoas Hitch

Dr. Meghraj J. Chawada, Dr. Dnyaneshwar Panchal, Dr. Pratiksha Gajbhiye, Dr. Sagar Kalvale

Abstract: Middle-aged women with ureterovaginal fistula (UVF) after hysterectomy represent a painful condition for the patients in the community. Accurate diagnosis and proper planning before surgery are essential for effective outcomes. The highest risk of intraoperative ureteral trauma is associated with hysterectomy, performed most frequently in postmenopausal women. The overall incidence of ureteral injuries varies in different studies between 0.5% and 10%. CT urography is the modality of choice in diagnosing ureterovaginal fistula. CT urography helps in evaluating the fistula as well the associated renal complications following the condition. Here we present a case of ureterovaginal fistula reported with a history of total vaginal hysterectomy in September 2025.

Keywords: ureterovaginal fistula, hysterectomy complications, CT urography, ureteral injury, postoperative diagnosis

How to Cite?: Dr. Meghraj J. Chawada, Dr. Dnyaneshwar Panchal, Dr. Pratiksha Gajbhiye, Dr. Sagar Kalvale, "Ureterovesical Fistula Post Vaginal Hysterectomy - Managed by Laparoscopic Ureteroneocystostomy with Psoas Hitch", Volume 14 Issue 11, November 2025, International Journal of Science and Research (IJSR), Pages: 142-144, https://www.ijsr.net/getabstract.php?paperid=SR251031104015, DOI: https://dx.doi.org/10.21275/SR251031104015