Immediate ureterovaginal fistula secondary to oocyte retrieval--a case report.

OBJECTIVE: To report a case of ureterovaginal fistula secondary to transvaginal oocyte retrieval (TVOR).

DESIGN: Case report.

SETTING: IVF Center IN a private hospital.

PATIENT(S): A 31-year-old woman presented immediately after TVOR with right lower abdominal pain with irradiation to the suprapubic area and vaginal discharge.

INTERVENTION(S): Vaginal examination, creatinine dosage in plasma and vaginal discharge, excretory urography. A double-J catheter was inserted under general anesthesia.

MAIN OUTCOME MEASURE(S): Clinical follow-up.

RESULT(S): 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.

CONCLUSION(S): Given the elective nature of TVOR and IVF, patients should be informed about all potential complications, including ureterovaginal fistula.