Journal of Human Reproductive Science
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CASE REPORT Table of Contents   
Year : 2017  |  Volume : 10  |  Issue : 1  |  Page : 61-64
Ureteric Injury During Transvaginal Oocyte Retrieval (TVOR) and Review of Literature


1 Associate Consultant, Ankoor Fertility Clinic, Mumbai, India
2 Consutant, Genesis Fertility Centre, Mumbai, India
3 Medico Surgical Clinic and Hospital, Mumbai, India
4 Consultant, Ankoor Fertility Clinic, Mumbai, India

Correspondence Address:
Rana A Choudhary
2501, A- Wing, Klassic Towers, Dr. A. R. Nair Road, Agripada, Mumbai- 400011
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jhrs.JHRS_124_16

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We report a case of ureteric injury during transvaginal oocyte retrieval (TVOR), which was identified immediately (on the operation table) and managed successfully in the same sitting. A 28-year-old woman with primary infertility underwent in-vitro fertilisation (IVF) in a private centre. Because of the policy of doing an ultrasonography post-procedure, she was diagnosed immediately with vaginal vault haematoma and ureteric injury. A double-J catheter was inserted under cystoscopic guidance. A major complication was averted by the timely diagnosis of ureteric injury and its appropriate management. To conclude, given the elective nature of TVOR and IVF, patients should be informed about all potential complications, including ureteric injury. Early diagnosis of complications (by knowing and anticipating potential risks of procedure) leads to efficient management by timely intervention.


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