After vaginal hysterectomy, uterosacral ligaments are commonly used to suspend the vaginal vault in order to prevent and to treat recurrence of central prolapse. Shull et al. proposed a technique to fix endopelvic fascia and vagina to the higher portion of the uterosacral ligaments using a vaginal approach [1]. This technique is associated with a risk of ureteral obstruction (0-11%) [2, 3]. Although intraoperative cystoscopy is recommended to check ureteral patency at the end of colposuspension, this secondary prevention technique could be false negative due to partial stenosis [4].
Laparoscopic management of severe ureteral obstruction after vaginal hysterectomy and colposuspension / Seracchioli, Renato; Raimondo, Diego; Salucci, Paolo; Paradisi, Roberto; Mabrouk, Mohamed. - In: INTERNATIONAL UROGYNECOLOGY JOURNAL. - ISSN 1433-3023. - STAMPA. - 29:10(2018), pp. 1557-1558. [10.1007/s00192-018-3675-6]
Laparoscopic management of severe ureteral obstruction after vaginal hysterectomy and colposuspension
Seracchioli, Renato;Raimondo, Diego
;SALUCCI, PAOLO;Paradisi, Roberto;
2018
Abstract
After vaginal hysterectomy, uterosacral ligaments are commonly used to suspend the vaginal vault in order to prevent and to treat recurrence of central prolapse. Shull et al. proposed a technique to fix endopelvic fascia and vagina to the higher portion of the uterosacral ligaments using a vaginal approach [1]. This technique is associated with a risk of ureteral obstruction (0-11%) [2, 3]. Although intraoperative cystoscopy is recommended to check ureteral patency at the end of colposuspension, this secondary prevention technique could be false negative due to partial stenosis [4].I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.