Ureterovaginal Fistula and Laparoscopic Repair: A Case Report and Literature Review

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Published: Aug 24, 2026
DOI: https://doi.org/10.47191/ijmscrs/v6-i8-08
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Vázquez-Chalé Brian Isaí de Jesús*
Third-Year Urology Resident at Hospital General “Dr. Agustín O’Horán”, Faculty of Medicine, Autonomous University of Yucatán.
Millán-Flores Ricardo Alexander
Staff Physician, Department of Urology, Yucatán Health Services. Hospital General “Dr. Agustín O’Horán”, Mérida, Yucatán, Mexico.
Gómez-Lara Miguel Humberto
Staff Physician, Department of Urology, Yucatán Health Services. Hospital General “Dr. Agustín O’Horán”, Mérida, Yucatán, Mexico.
Narváez-Morales José Antonio
Staff Physician, Department of Urology, Yucatán Health Services. Hospital General “Dr. Agustín O’Horán”, Mérida, Yucatán, Mexico.

Abstract

Iatrogenic ureteral injuries are mainly associated with gynecologic procedures and other abdominopelvic interventions. They may go unrecognized during surgery and subsequently present with pain, fever, urinoma, obstruction, deterioration of renal function on serum biochemical testing, or vaginal urinary leakage after a fistulous tract forms between the ureter and vagina.


In ureterovaginal fistulas, ureteral stenting is an initial option in selected patients; when it fails or when a complex distal injury is present, ureteral reimplantation is the definitive treatment, either through an open or laparoscopic approach. A psoas hitch brings the bladder closer to the viable ureter and facilitates a tension-free anastomosis. We present a case of a delayed right ureterovaginal fistula after myomectomy, treated with laparoscopic Lich-Gregoir ureteral reimplantation plus psoas hitch, resulting in resolution of the leakage and recovery of biochemical renal function.

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How to Cite
Brian Isaí de Jesús*, Vázquez-Chalé, Millán-Flores Ricardo Alexander, Gómez-Lara Miguel Humberto, and Narváez-Morales José Antonio. 2026. “Ureterovaginal Fistula and Laparoscopic Repair: A Case Report and Literature Review”. International Journal of Medical Science and Clinical Research Studies 6 (8):1670-76. https://doi.org/10.47191/ijmscrs/v6-i8-08.
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Vol. 6 No. 8 (2026): Volume 06 Issue 08 August 2026
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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