{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:26:21Z","timestamp":1725927981167},"reference-count":0,"publisher":"Care Comm","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ceska Gynekol"],"published-print":{"date-parts":[[2024,8,30]]},"abstract":"<jats:p>Aim: A\u00a0retrospective audit from a\u00a0urological center focused on urological fistulas that directly connect with the treatment of gynecological malignancy. Ureteroarterial fistulas, i.e., pathological communication between the ureter and the artery, are discussed in more detail. Materials and methods: Over a\u00a0period of ten years, from 2011\u00a0to 2020, a\u00a0group of 47\u00a0patients with a\u00a0diagnosis of urinary fistula was retrospectively evaluated. These patients, with a\u00a0history of treatment for gynecological malignancy, were sent to our clinic from local and nonregional departments in the Czech Republic. We found three cases of ureteroarterial fistula in the presented analysis that focused on urological toxicity of oncogynecological treatment. Results: Within the mentioned period of ten years, we recorded 64\u00a0cases of urinary fistulas, and 47\u00a0patients (73.4%) were directly related to oncogynecological treatment. In the group with gynecological tumors, we found three patients (6.4%) with a\u00a0diagnosis of ureteroarterial fistula, two of whom died directly related to this complication (exsanguination). These patients were treated for cervical cancer. All of them underwent radiotherapy during the treatment. Conclusion: Ureteroarterial fistulas are the most severe complications that can occur in medicine. This work confirms that we have encountered these cases even recently. Management is highly demanding for patients affected in this way and requires multidisciplinary cooperation. Endovascular intervention methods can control bleeding in emergency situations with non-surgical approaches. However, they are usually the first step towards a\u00a0definitive surgical solution. Key words: fistula \u2013 ureter \u2013 artery \u2013 hematuria \u2013 malignancy<\/jats:p>","DOI":"10.48095\/cccg2024293","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T14:03:16Z","timestamp":1725890596000},"page":"293-297","source":"Crossref","is-referenced-by-count":0,"title":["Ureteroarterial fistula \u2013 a severe manifestation of urological toxicity with possibly fatal consequences"],"prefix":"10.48095","volume":"89","author":[{"name":"Urology Clinic of the Faculty of Medicine of the UK and University Hospital Hradec Kr\u00e1lov\u00e9, Czech Republic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u0159\u00ed","family":"\u0160pa\u010dek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miroslav","family":"Loj\u00edk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Gu\u0148ka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milo\u0161","family":"Bro\u010f\u00e1k","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u0159\u00ed","family":"Petera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u0159\u00ed","family":"\u0160pa\u010dek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2024,8,30]]},"container-title":["\u010cesk\u00e1 gynekologie"],"original-title":["Ureteroarterial fistula \u2013 a severe manifestation of urological toxicity with possibly fatal consequences"],"deposited":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T14:03:27Z","timestamp":1725890607000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-gynekologie.cz\/en\/journals\/czech-gynaecology\/2024-4-5\/ureteroarterial-fistula-a-severe-manifestation-of-urological-toxicity-with-possibly-fatal-consequences-138318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,30]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,8,30]]},"published-print":{"date-parts":[[2024,8,30]]}},"URL":"https:\/\/doi.org\/10.48095\/cccg2024293","relation":{},"ISSN":["1210-7832","1805-4455"],"issn-type":[{"value":"1210-7832","type":"print"},{"value":"1805-4455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,30]]}}}