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INTRODUCTION: ACQUIRED UROGENITAL FISTULAS ARE ABNORMAL CONNECTIONS BETWEEN THE URINARY AND GENITAL SYSTEMS, COMMONLY RESULTING FROM TRAUMA, SURGERY, INFECTION, OR MALIGNANCY. THESE FISTULAS DISRUPT NORMAL ANATOMY, LEADING TO SYMPTOMS SUCH AS CONTINUOUS URINARY LEAKAGE, INFECTIONS, AND SIGNIFICANT SOCIAL AND PSYCHOLOGICAL DISTRESS AIMS AND OBJECTIVES :TO DISCUSS THE ETIOLOGY, DIAGNOSIS, CLASSIFICATION, AND MANAGEMENT OF ACQUIRED UROGENITAL FISTULAS AND ITS POSTOPERATIVE OUTCOME. METHODS: A COMPREHENSIVE LITERATURE REVIEW WAS CONDUCTED, INCLUDING STUDIES AND CASE REPORTS ON ACQUIRED UROGENITAL FISTULAS. DISCUSSION AND RESULTS:. THE REVIEW HIGHLIGHTS THE IMPORTANCE OF ACCURATE DIAGNOSIS, CLASSIFICATION, AND INDIVIDUALIZED TREATMENT PLANNING. CONCLUSIONS: ACQUIRED UROGENITAL FISTULAS REQUIRE MULTIDISCIPLINARY CARE, INVOLVING UROLOGISTS, GYNECOLOGISTS, AND OTHER SPECIALISTS. A TAILORED APPROACH, CONSIDERING PATIENT-SPECIFIC FACTORS AND FISTULA CHARACTERISTICS, CAN OPTIMIZE TREATMENT OUTCOMES AND IMPROVE QUALITY OF LIFE FOR AFFECTED INDIVIDUALS.