A CASE REPORT: MANAGEMENT OBSTETRIC URETEROCERVICOVAGINAL FISTULA WITH LICH GREGOIR TECHNIQUE
Trianto Ricardo(a), Nuraini Abidin(b), Trika Irianta(c)

(a)Obstetric dan Gynecology Department, Hasanuddin University, Makassar, Indonesia
(b) Obstetric and Gynecology Department, Social Division,
Hasanuddin University, Makassar, Indonesia
(c) Obstetrics and Gynecology Department, Urogynecology and Pelvic Reconstruction Division,
University of Hasanuddin, Makassar, Indonesia
Correspondent: ricardosallao[at]yahoo.com

Abstract

Background: 130,000 new cases of urogenital fistula per year worldwide, 13% of urogenital fistula are iatrogenic, 80 % of which followed surgery for obstetric complications. The womans inability to urinate normally would disrupt the life of the woman herself throughout her life if it does not receive serious attention. we present a case of ureterocervicovaginal fistula which was successfully managed operatively using the Lich Gregoir technique
Case: Women, 25 years old, complains of urinary seeping from the genitals for two months. There is a history of cesarean section 3 months ago. The results of the methylene blue test were negative. We diagnosed ureterocervicovaginal fistula. During surgery, there was left ureterocervicovaginal fistula and abdominal ureteroneocystotomy was performed with Lich Gregoir technique. There were no recurring complaints related to urinary incontinence.
Conclusion: Lich Gregoir technique is one of the management in the case of ureterocervicovaginal fistula.

Keywords: Ureterocervicovaginal fistula, Lich Gregoir technique

Topic: Maternal, neonatal, and child health