本院自民國六十八年至八十四年間共有20例醫源性輸尿管陰道廔管發生於17位婦人。輸尿管受傷的症狀大多發生在造成傷害的先前婦科手術後1至20天(平均12天)。在11次放置逆行性輸尿管導管的嘗試中，都不能成功放上去。在這20例廔管中：4例成功地以經皮穿腎引流處理；10例接受經皮穿腎引流術處理後，須進一步接受輸尿管輸尿管接合術或輸尿管膀胱造口術；3例拒絕接受治療（其中2例自行痊癒，無輸尿管狹窄發生；另1例事後追蹤發現患側腎功能喪失。）；另外3例直接接受輸尿管膀胱造口手術。接受經皮穿腎引流術的14例廔管中有4例成功地治癒(成功率28%)。這4例治療成功的廔管，分別接受經皮穿腎引流術的時間從1至3.4個月(平均2.1個月)。其他10例接受經皮穿腎引流術後仍須進一步手術的病人中，經皮穿腎引流導管放置的時間從0.2至7個月(平均2.8個月)。對於輸尿管陰道廔管自行癒合的機會。但許多病人仍須進一步的外科手術治療。

The experience of 20 iatrogenic ureterovaginal (UV) fistulas in 17 patients collected over a 16-year period was reviewed. The symptoms of ureteral injury appeared 1 to 20 days (mean 12) after antecedent gynecological procedure. Retrograde ureteral catheterizations were tried 11 times in 10 patients, but all failed. Of the 20 fistulas, 3 were managed successfully with percutaneous nephrostomy (PCN) drainage; 10 received end to end anastomosis of ureter or uretero-neocystostomy after initial PCN drainage; 3 refused treatment ( two fistulas healed spontaneously without ureteral stricture, one lost renal function on the lesion side kidney later); and 3 received direct ureteroneocystostomy. Percutaneous nephrostomy alone was successful as a primary therapy in 4 of 14 fistulas. These four fistulas closed uneventfully 1 to 3.4 months (mean 2.1) after PCN drainage. The other 10 fistulas required definite surgery after a period of indwelling PCN drainage (range 0.2 to 7 months, mean 2.8). Initial management with PCN may preserve renal function and provide the chance of spontaneous healing; however, many cases still require surgery later.