Evidence map›Paper›PMID 39554388›Full record

ArticleJournal of surgical case reports2024

Complex postoperative ureterovaginal and vesicovaginal fistula following a non-oncological hysterectomy: a report of a challenging complication.

Konstantinos Tzelepis, Ilias Giannakodimos, Athina A Samara, Christos Kotanidis, Sofia Tsiapakidou, Michel Janho, Antonios Koutras, Sotirios Sotiriou

Erratum issuedAbstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Konstantinos TzelepisDepartment of Urology, General Hospital of Nikaia, Piraeus, Athens, 18454, Greece.
Ilias GiannakodimosDepartment of Urology, General Hospital of Nikaia, Piraeus, Athens, 18454, Greece.
Athina A SamaraDepartment of Embryology, Faculty of Medicine, University of Thessaly, Larissa, 41500, Greece.ORCID https://orcid.org/0000-0002-6177-7281
Christos KotanidisDepartment of Urology, General Hospital of Nikaia, Piraeus, Athens, 18454, Greece.
Sofia TsiapakidouFirst Department of Obstetrics & Gynecology, Aristotle University of Thessaloniki Greece, Thessaloniki, 56403, Greece.
Michel JanhoDepartment of Embryology, Faculty of Medicine, University of Thessaly, Larissa, 41500, Greece.
Antonios KoutrasDepartment of Obstetrics and Gynaecology, Alexandra General Hospital, Athens, 11528, Greece.
Sotirios SotiriouDepartment of Embryology, Faculty of Medicine, University of Thessaly, Larissa, 41500, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

gynecologic surgerypostsurgical complicationureteral reimplantationureterovaginal fistulaureterovesical fistula

Identifiers

PMID39554388
PMCPMC11564804

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