{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:16:50Z","timestamp":1785161810196,"version":"3.55.0"},"reference-count":13,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe the clinical characteristics of patients diagnosed with vesico-vaginal fistula in a urology service in Cali, Colombia, between 2016 and 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective cross-sectional study was conducted using medical records from the Urology service at a high-complexity public referral hospital in Cali, Colombia, between June 2016 and June 2025. Patients with confirmed vesico-vaginal fistula were identified through ICD-10 codes. Sociodemographic, clinical, and treatment data were extracted and analyzed descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We found 25 patients with vesicovaginal fistula; the median age was 45\u2009years. A history of cervical cancer and prior radiotherapy was present in 32% and 48% of patients, respectively, and 68% had undergone previous pelvic surgery, most commonly hysterectomy (48%). Cystoscopy was the main diagnostic modality (84%), with a mean fistula size of 14.6\u2009mm and predominantly retrotrigonal or trigonal locations. Conservative management was unsuccessful in all cases, while surgical repair\u2014mostly laparoscopic\u2014achieved a success rate of 72.2%, with postoperative complications occurring in 16.7% of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Vesicovaginal fistula in this cohort was mainly associated with prior pelvic surgery and radiotherapy. Conservative management was ineffective, while surgical repair\u2014especially laparoscopic\u2014achieved acceptable success with low complication rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603261472017","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T13:40:40Z","timestamp":1784986840000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and epidemiological characteristics of patients with vesicovaginal fistulas in a high-complexity public referral hospital from southwestern Colombia"],"prefix":"10.1177","author":[{"given":"Nicol\u00e1s","family":"Guerr\u00f3n Morales","sequence":"first","affiliation":[{"name":"UROGIV Research Group. School of Medicine, Universidad del Valle, Cali, Colombia"},{"name":"Division of Urology\/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6945-8261","authenticated-orcid":false,"given":"Herney Andr\u00e9s","family":"Garc\u00eda-Perdomo","sequence":"additional","affiliation":[{"name":"UROGIV Research Group. School of Medicine, Universidad del Valle, Cali, Colombia"},{"name":"Division of Urology\/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"German Adolfo","family":"Ramirez Martinez","sequence":"additional","affiliation":[{"name":"UROGIV Research Group. School of Medicine, Universidad del Valle, Cali, Colombia"},{"name":"Division of Urology\/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,25]]},"reference":[{"issue":"1","key":"e_1_3_2_2_2","first-page":"101","article-title":"Fistulas vesicovaginales","author":"Salinas A","year":"2006","unstructured":"Salinas A, Arbelaez G, Berm\u00fadez A, et al. Fistulas vesicovaginales. Urol Colomb 2006; XV(1): 101\u2013106.","journal-title":"Urol Colomb"},{"key":"e_1_3_2_3_2","doi-asserted-by":"crossref","unstructured":"Hilton P Cromwell DA. The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service: a retrospective cohort study examining patterns of care between 2000 and 2008. BJOG 2012; 119(12): 1447\u20131454. https:\/\/doi.org\/10.1111\/j.1471-0528.2012.03474.x","DOI":"10.1111\/j.1471-0528.2012.03474.x"},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Neu S Locke JA Zhang B et al. Prevalence and repair patterns of vesicovaginal fistula: a large retrospective population-based cohort analysis. World J Urol 2024; 42(1): 1\u20138. https:\/\/doi.org\/10.1007\/s00345-024-04812-w","DOI":"10.1007\/s00345-024-04812-w"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","unstructured":"Wall LL. Obstetric vesicovaginal fistula as an international public-health problem. Lancet 2006; 368(9542): 1201\u20131209. https:\/\/doi.org\/10.1016\/S0140-6736(06)69476-2","DOI":"10.1016\/S0140-6736(06)69476-2"},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","unstructured":"Wall LL Karshima JA Kirschner C et al. The obstetric vesicovaginal fistula: characteristics of 899 patients from Jos Nigeria. 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Urol Colomb 1994; 4(2): 26\u201335.","journal-title":"Urol Colomb"},{"issue":"4","key":"e_1_3_2_9_2","first-page":"200","article-title":"F\u00edstulas vesico-vaginales: diagn\u00f3stico y manejo; experiencia de 20 a\u00f1os","volume":"71","author":"Mart\u00ednez J\u00c1","year":"2011","unstructured":"Mart\u00ednez J\u00c1, Hern\u00e1ndez-Castellanos V, Fern\u00e1ndez-Noyola G, et al. F\u00edstulas vesico-vaginales: diagn\u00f3stico y manejo; experiencia de 20 a\u00f1os. Rev Mex Urol 2011; 71(4): 200\u2013206.","journal-title":"Rev Mex Urol"},{"key":"e_1_3_2_10_2","doi-asserted-by":"crossref","unstructured":"Michel F Gaillet S Boissier R et al. Epidemiology and care pathway of vesicovaginal fistulas managed in France between 2010 and 2018. World J Urol 2022; 40(4): 1027\u20131033. https:\/\/doi.org\/10.1007\/s00345-021-03917-w","DOI":"10.1007\/s00345-021-03917-w"},{"key":"e_1_3_2_11_2","doi-asserted-by":"crossref","unstructured":"Panaiyadiyan S Nayyar BU Nayyar R et al. 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