To summarize and analyze the efficacy of laparoscopic ureteral bladder replantation in the treatment of iatrogenic ureterovaginal fistula.

A retrospective analysis of 14 patients with ureterovaginal fistula who underwent concurrent laparoscopic ureteral replantation between June 2014 and January 2018. The age ranged from 27 to 69 years, with an average of (44 ± 5) years. The time of vaginal leakage was found to be 1 day to 29 days, with an average of 12 days. 9 cases (64.3%) on the left side and 5 cases (35.7%) on the right side. All patients in this group underwent blood routine, biochemical, urinary ultrasound, Meilan experiment, intravenous urography and CTU examination.

All the 14 patients were successfully operated. The operation time was 100-160 min, with an average of 125 min. Intraoperative bleeding 20~100 ml. Abdominal drainage tube was removed on average 3 days after operation, and the catheter was removed 7 to 10 days. The hospital stay was 9 to 18 days, with an average of 13 days. All patients were followed up for 3 to 24 months, with an average of 13 months. All the patients were cured. One patient developed painless gross hematuria after surgery, and did not undergo special treatment (Class I); 2 patients developed fever after operation, and were cured after anti-infective treatment (Class II); the remaining patients had no serious complications.

Ureteral fistula is mainly caused by gynecological and gynecological surgery, early diagnosis is recommended for ureterovaginal fistula, early surgical treatment is suggested under conditions, and laparoscopic ureteral bladder replantation is satisfactory for ureterovaginal fistula.