Immediate ureterovaginal fistula secondary to oocyte retrieval—a case report

Abstract

To report a case of ureterovaginal fistula secondary to transvaginal oocyte retrieval (TVOR). Case report. IVF Center IN a private hospital. A 31-year-old woman presented immediately after TVOR with right lower abdominal pain with irradiation to the suprapubic area and vaginal discharge. Vaginal examination, creatinine dosage in plasma and vaginal discharge, excretory urography. A double-J catheter was inserted under general anesthesia. Clinical follow-up. Vaginal leakage ceased a few hours after catheter insertion. Transfer of two embryos was performed 3 days after TVOR, but no pregnancy occurred. The double-J catheter was removed 21 days after its placement. Imaging studies done 6 weeks later demonstrated a normal urinary tract morphology. Given the elective nature of TVOR and IVF, patients should be informed about all potential complications, including ureterovaginal fistula.