Ureterovaginal fistula: a case report and review of an unexpected contemporary complication secondary to transvaginal ultrasound-guided oocyte retrieval

JBRA Assist Reprod. 2024 Feb 26;28(1):206-208. doi: 10.5935/1518-0557.20230063.

Abstract

Despite the widespread use of transvaginal ultrasound-guided oocyte retrieval in assisted reproductive technology procedures, there is a lack of systematic data on the incidence and nature of its complications. This makes it difficult for healthcare providers to fully understand and manage the risks associated with the procedure, and for patients to make informed decisions about their care. Ureteral injuries and other complications during oocyte retrieval are important to consider and manage appropriately. Early ureterovaginal fistula is a rare but serious complication that can occur after oocyte collection by transvaginal ultrasound. It is important for medical professionals to be aware of this potential complication and to take appropriate measures to prevent and manage it. Minimally invasive treatments for ureterovaginal fistula can be effective in resolving the condition and minimize the risk of further complications. However, early diagnosis and prompt intervention are critical in achieving a successful outcome.

Keywords: in-vitro fertilization; transvaginal oocyte retrieval; ureteral injury; ureteral trauma; ureterovaginal fistula.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Fistula* / etiology
  • Humans
  • Oocyte Retrieval* / adverse effects
  • Ultrasonography
  • Ultrasonography, Interventional / adverse effects