{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T11:50:46Z","timestamp":1778327446703,"version":"3.51.4"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T00:00:00Z","timestamp":1731628800000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In a quarter of patients with ureterovaginal fistula (UVF), a concurrent associated vesicovaginal fistula (VVF) can also be found. An increased clinical suspicion should be arised in cases of urinary vaginal discharge accompanied with unilateral flank pain following a gynecological procedure. A 43-year-old female patient diagnosed with a complex postoperative UVF and VVF following a total hysterectomy. After an unsuccessful initial conservative approach with the placement of a nephrostomy tube, an ureterocystotomy with antireflux reimplantation of the ureter was decided. The patient experienced an uneventful postoperative period and a year later, the patient remains asymptomatic without any evidence of fistula recurrent. Our case reports the relatively rare presence of a concurrent postoperative complex UVF and VVF formation in order to rise clinical suspicion in clinicians regarding the diagnostic approach and optimal management.<\/jats:p>","DOI":"10.1093\/jscr\/rjae692","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T08:48:14Z","timestamp":1731660494000},"source":"Crossref","is-referenced-by-count":4,"title":["Complex postoperative ureterovaginal and vesicovaginal fistula following a non-oncological hysterectomy: a report of a challenging complication"],"prefix":"10.1093","volume":"2024","author":[{"given":"Konstantinos","family":"Tzelepis","sequence":"first","affiliation":[{"name":"Department of Urology, General Hospital of Nikaia , Piraeus, Athens, 18454 ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilias","family":"Giannakodimos","sequence":"additional","affiliation":[{"name":"Department of Urology, General Hospital of Nikaia , Piraeus, Athens, 18454 ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6177-7281","authenticated-orcid":false,"given":"Athina A","family":"Samara","sequence":"additional","affiliation":[{"name":"Department of Embryology , Faculty of Medicine, , Larissa, 41500 ,","place":["Greece"]},{"name":"University of Thessaly , Faculty of Medicine, , Larissa, 41500 ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christos","family":"Kotanidis","sequence":"additional","affiliation":[{"name":"Iaso General Hospital of Thessaly , Larissa ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Tsiapakidou","sequence":"additional","affiliation":[{"name":"First Department of Obstetrics & Gynecology, Aristotle University of Thessaloniki Greece , Thessaloniki, 56403 ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Janho","sequence":"additional","affiliation":[{"name":"Department of Embryology , Faculty of Medicine, , Larissa, 41500 ,","place":["Greece"]},{"name":"University of Thessaly , Faculty of Medicine, , Larissa, 41500 ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonios","family":"Koutras","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Alexandra General Hospital , Athens, 11528 ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sotirios","family":"Sotiriou","sequence":"additional","affiliation":[{"name":"Department of Embryology , Faculty of Medicine, , Larissa, 41500 ,","place":["Greece"]},{"name":"University of Thessaly , Faculty of Medicine, , Larissa, 41500 ,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"2025061017320359700_ref1","volume-title":"Repair of Complex Ureterovaginal and Vesicovaginal Fistulas with Ileal Cystoplasty and Ureteric Reimplantation into an Antireflux Ileal Nipple Valve--A Case Report","author":"Eg Mk"},{"key":"2025061017320359700_ref2","doi-asserted-by":"publisher","first-page":"501","DOI":"10.5603\/GP.a2021.0240","article-title":"Uretero-vaginal fistulas - clinical presentation, treatment and literature overview","volume":"93","author":"Pyra","year":"2022","journal-title":"Ginekol Pol"},{"key":"2025061017320359700_ref3","doi-asserted-by":"publisher","first-page":"352","DOI":"10.5603\/GP.2020.0081","article-title":"Recommendations of the Polish Society of Gynaecologists and Obstetricians for removal of the uterus by vaginal, laparoscopic and abdominal routes","volume":"91","author":"Stojko","year":"2020","journal-title":"Ginekol Pol"},{"key":"2025061017320359700_ref4","doi-asserted-by":"publisher","first-page":"795","DOI":"10.4111\/kju.2012.53.11.795","article-title":"Urologic complications following obstetric and gynecologic surgery. 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