{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:13:18Z","timestamp":1778278398852,"version":"3.51.4"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T00:00:00Z","timestamp":1732320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Vesicovaginal fistula (VVF) is a persistent issue, particularly after obstetric surgeries such as hysterectomy. Complications like pelvic organ prolapse (POP) and underactive bladder often occur (Barber and Maher, 2013; Rajaian et al., 2019). Women with both VVF and cystocele experience reduced quality of life and psychological challenges (Alio et al., 2011). This case report highlights the management of a woman with VVF and cystocele following hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 53-year-old woman presented with urinary incontinence and a vaginal bulge two years post-hysterectomy. She had type 2 diabetes mellitus and obesity but had not sought prior treatment. Examination revealed urinary incontinence and grade III cystocele. She underwent one-step transvaginal surgery with two weeks of postoperative catheterization. After catheter removal, no urinary leakage or prolapse was observed, significantly improving her quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>VVF with cystocele post-hysterectomy is rare, accounting for only 1 % of complications (Njoku et al., 2016). Symptoms include continuous urinary leakage (Lee et al., 2012). Treatment options vary from conservative to surgical approaches (Lee and Zimmern, 2019). In this case, single-step transvaginal surgery resulted in positive outcomes, improving the patient's condition (Hadzi-Djokic et al., 2009; Mancini et al., 2021).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Concomitant VVF and cystocele are rare but significantly impact women's health. Single-stage transvaginal surgery offers cost-effective and favorable results, reducing the need for multiple procedures. This case adds valuable insight into the management of such cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110660","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T02:56:52Z","timestamp":1732503412000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A single step transvaginal surgery in managing vesicovaginal fistula with grade III cystocele in post hysterectomy patient: A case report and literature review"],"prefix":"10.1097","volume":"126","author":[{"given":"Achmad Romy Syahrial","family":"Rozidi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wahjoe","family":"Djatisoesanto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetuka Bagus","family":"Laksita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"12","key":"R1-22-20260508","doi-asserted-by":"crossref","first-page":"3346","DOI":"10.1007\/s43032-021-00832-8","article-title":"Vesico-vaginal fistula in females: a systematic review and meta-analysis","volume":"29","author":"Shrestha","year":"2022","journal-title":"Reprod. 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