In the female complication of the distal portion of the ureter injury is the ureterovaginal fistula, seen most often after the Wertheim hysterectomy. The true incidence of the disease is difficult to ascertain in the literature. Incontinence is the first symptom of the ureterowaginal fistula patient. An IVP, RPG, cystography, crystoscopy and double dye test investigations are to be advocated for diagnosis of the disease. Ureterovaginal fistula is repaired by standard ureteroneocystostomy, incorporating an anti-refluxing submucosal tunnel. Key words: Wertheim hysterectomy-ureterovagina fistula-incontinence-ureteroneocystostomy-ureter injury. Prawito Singodimedjo, Sungsang Rochadi dan H. Moh Baried Ishom; Lab. Ilmu Bedah Fak. Kedokteran UGM.
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