The purpose of this study is to describe a simple, non-expensive, accessible and effective technique of ureterovaginal
fistula diagnosis, and to assess the results of surgical management in a resource-constrained hospital. During a campaign of obstetric
fistulas repair, we diagnosed ureterovaginal
fistulas by vaginal exam with the
blue methylene test associated to abdominal ultrasonography, two simple and non-expensive explorations which permitted to identify ureterovaginal
fistula and to do differential diagnosis with
vesicovaginal fistula. The management was surgery, by ureterovesical
reimplantation. Four ureterovaginal
fistulas have been diagnosed in 32 women presented with obstetrical
fistula. The mean age of those
fistulas was 4.85 years; it was located on the left ureter in three cases, on the right in one case. The ureteral lesion was consecutive to a
caesarean section in all patients and sited on the pelvic segment of ureter. In three patients, diagnosis was performed by the negativity of the blue test and unilateral dilation of ureter and kidney while the discovery was done during the treatment of vesicovaginal and
rectovaginal fistulas associated in the last patient. After effects of surgery were simple, characterized by disappearance of urine leakage and dilation of ureter kidney. In resources-constrained context, techniques such as blue test and ultrasonography are enough to perform diagnosis of ureterovaginal
fistula. Ureterovesical
reimplantation is an effective therapeutic method for diagnosing ureterovaginal
fistula.