ENDOSCOPIC MANAGEMENT OF URETEROVAGINAL FISTULA AND RETRIEVAL OF INTRARENAL FRAGMENTED GUIDEWIRE BY URETEROSCOPY: A CASE REPORT AND LITERATURE REVIEW.

Abstract

Gynaecological surgery remains the most common cause of ureterovaginal stulas. Most common surgery responsible for a ureteric injury is total abdominal hysterectomy. Rare reports of foreign bodies in the renal pelvis and kidney have been made. Majority of times, FBs are brought on by external factors (violence or accidents) or endourological procedures. We report a patient with fragment of PTFE guidewire embedded in the renal parenchyma and pelvicalyceal system following attempted Ultrasound guided percutaneous nephrostomy drainage (PCND) for ureterovaginal stula, and our successful minimally invasive management with Ureteroscopy of renal foreign body and ureterovaginal stula.