OBJECTIVES: The aim of this study was to describe a case of @entity3134 managed with robotic-assisted sacral colpopexy complicated by severe right-sided @entity3041 despite normal intraoperative cystoscopy. METHODS: A 68-year-old @entity1 presented with a worsening vaginal bulge over the past 2 years. Tricompartment stage 2 @entity3134 , with dominant cystocele and @entity272 at the posterior fourchette from prolapse friction, was identified on physical examination, and the @entity1 underwent pelvic reconstructive surgery, including sacral colpopexy. RESULTS: The @entity1 was discharged on postoperative day 4 after being treated for a @entity293 . At her 6-week postoperative visit, the @entity1 demonstrated normal vaginal support. She presented 6 months postoperatively with right-sided @entity3041 with an almost imperceptible stricture where the right iliac vessels cross the pelvic brim, demonstrating a delayed manifestation of @entity1901 . She underwent open ureteroscopy, ureteroneocystostomy with vesicopsoas hitch, and ureteral stent placement. Ureteroscopy demonstrated a very mild narrowed caliber of the ureter just above the sacroiliac joint without overt obstruction. Follow-up intravenous pyelogram demonstrated no evidence of @entity16 . At nearly 1-year follow-up, the @entity1 remained asymptomatic and had normal renal function. CONCLUSION: This case demonstrates the challenges of an uncommon, but highly morbid, complication of pelvic reconstructive surgery. Even when adequate visualization of the ureters and delicate ureteral dissection is achieved throughout surgery, occult injuries can still occur. Surgeons should maintain a high index of suspicion of @entity1901 when evaluating @entity1 for late presentations of @entity260 .

XXXX Presenting 6 Months After Sacral Colpopexy: Case Report and Literature Review.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity1901 :: ('MESH:D014515', 'Disease') :: ['ureteral injury'] @entity16 :: ('MESH:D009422', 'Disease') :: ['damage or obstruction'] @entity3134 :: ('MESH:D011391', 'Disease') :: ['uterovaginal prolapse'] @entity3041 :: ('MESH:D006869', 'Disease') :: ['hydronephrosis'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity272 :: ('MESH:D012871', 'Disease') :: ['skin erosion'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infection']
@entity3041 :: (MESH:D006869,Disease) :: ['Hydronephrosis']
