“…Pelvic adhesions due to repeated surgery significantly enlarged uterus during abdominal surgery and heavy bleeding that obscures the surgical site during surgery were the main causes of ureteral injury [4]. Clamp, suture ligation, partial or total primary transection, angulation, avulsion, or ischemic necrosis following electrocoagulation are examples of mechanisms that can cause ureter damage during surgical procedures [5]. Endometriosis, obesity, pelvic inflammatory disease, radiation therapy, and pelvic cancer are risk factors for the ureterovaginal fistula [2].…”