Vesicouterine Fistula (Youssef Syndrome): Case Report and Literature Review

Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
Reynaldo Augusto Machado JuniorLúcio Lourenço E Lourenço

Abstract

To describe a case of vesicouterine fistula and to review the literature related to this condition. For the review, we accessed the MEDLINE, BIREME and LILACS databases; the references of the searched articles were also reviewed. A 38-year-old woman, in the 1st day after her 3rd cesarean, presented heavy hematuria, which was considered secondary to a difficult dissection of the bladder. A total of 6 months after delivery, she failed to resume her regular menstrual cycles and presented cyclic menouria and amenorrhea. At this time, she had two episodes of urethral obstruction by blood clots. She remained without a correct diagnosis until about two years postdelivery, when a vesicouterine fistula was confirmed through cystoscopy. A surgical correction through open abdominal route, coupled with hysterectomy, was performed. After the surgery, the symptoms disappeared. The review showed a tendency of change in the relative frequency of the different types of genitourinary fistulae. Vesicovaginal fistulae, usually caused by inadequate care during labor, are becoming less frequent than those secondary to medical procedures, such as vesicouterine fistulae. The most common cause of this latter kind of fistula is cesarean section, especia...Continue Reading

Citations

Jan 5, 2021·The Journal of Obstetrics and Gynaecology Research·Hezhu WangYuquan Zhang
Aug 12, 2021·BMJ Case Reports·Anupama BahadurRajlaxmi Mundhra
Oct 21, 2021·Cytopathology : Official Journal of the British Society for Clinical Cytology·Xian ChenYefang Huang

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