Skip Navigation LinksHome > May/June 2012 - Volume 18 - Issue 3 > Radiologic Images of Retrograde Ureterography Before and Aft...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e318254f0b0
Case Report

Radiologic Images of Retrograde Ureterography Before and After Release of Bilateral Sacrospinous Ligament Fixation Sutures

Sylvester, Toni MD*†; Bond, Virginia MD*; Johnson, Harry W. Jr MD*†; Chai, Toby C. MD*†

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Abstract

Abstract: Ureteral injury or compromise can occur after pelvic floor reconstruction for prolapse. Therefore, it is routine to perform intraoperative urethrocystoscopy at end of the operative case to confirm ureteral patency. We show retrograde ureterogram before and after release of fixation sutures from bilateral sacrospinous ligament fixation performed for stage III vaginal prolapse. The fluoroscopic images presented are intended to help pelvic surgeons visualize what could occur during sacrospinous ligament fixation. Furthermore, this case report illustrates how angulation of the distal ureter, without complete obstruction, may result in renal compromise.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins

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