On april 16, 2012 isi received a legal summons indicating on (b)(6) 2011, the patient underwent a da vinci s hysterectomy procedure at (b)(6).
During the surgical procedure the patient sustained injuries to her left ureter and bladder.
The planned surgical procedure was converted to open laparotomy surgery with repair of the bladder injury.
The patient was given two units of packed red blood cells due to blood loss during surgery.
The patient was discharged from the hospital on (b)(6) 2011.
On (b)(6) 2011, the patient began having severe pain in her back and noticed that she was passing urine through her vagina.
Secondary to this, the patient went back to the hospital and had radiology tests performed which, confirmed that the patient had a ureteral injury requiring an immediate diversionary nephrostomy tube to be placed by a radiologist.
A percutaneous nephrostomy tube was placed and the stent was able to pass freely into the bladder.
The patient was outfitted with a nephrostomy bag to collect her urine.
The patient was then taken back to the operating room and the ureteral stent in the left ureter was internalized.
This allowed for the discontinuation of the nephrostomy bag.
On (b)(6) 2011, the patient was taken back to the operating room for a cystoscopy, left ureteral stent removal, bilateral ureteroscopy, and right retrograde pyelogram.
Despite all of this treatment, the patient had recurrent difficulty with pelvic pain and bladder function and continued to experience involuntary loss of urine through her vagina.
The patient had to undergo an additional operation on (b)(6) 2011, consisting of cystoscopy and fulguration of bladder lesion for a diagnosis of vesicovaginal fistula.
Despite this treatment, the patient continues to suffer from nocturea, pelvic pain, dyspareunia, and continued leakage of urine vaginally.