https://doi.org/10.4081/uij.2017.199

After Cesarean vesicouterine fistula (Youssef Syndrome) with successful conservative management

Vol. 30 No. 1 (2017)
Submitted: 24 April 2017
Accepted: 22 September 2017
Published: 16 October 2017
Cesarean section, uterovesical fistula, Youssef’s syndrome, bladder fistula, urinary incontinence.
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Authors

Julián Oñate Celdrán
Department of Urology, Reina Sofia General University Hospital, Murcia, Spain.
Francisco M. Gonzalez Valverde
migova67@gmail.com
Department of Surgery, Pediatrics and Obstetrics and Gynecology, Reina Sofia General University Hospital, Murcia, Spain.
Vesicouterine fistula without vaginal leakage of urine, cyclic hematuria and amenorrhea is a rare condition, identified as Youssef’s syndrome. The most common cause of this syndrome is trauma during a cesarean section. Different therapeutical approaches that include conservative treatment, fulguration, hormonal therapy and open, laparoscopic or robotic surgeries have been mentioned in the literature. Herein a case in a 37-year-old patient is reported. Conservative treatment with urinary drainage was successful because the fistula was recognized in the immediate postoperative period.

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Julián Oñate Celdrán, Department of Urology, Reina Sofia General University Hospital, Murcia
Urologist. Service of Urology
Francisco M. Gonzalez Valverde, Department of Surgery, Pediatrics and Obstetrics and Gynecology, Reina Sofia General University Hospital, Murcia

Associate professor.  Department of Surgery, Pediatrics and Obstetrics and Gynecology.  UniversityofMurcia

How to Cite

Oñate Celdrán, J., & Gonzalez Valverde, F. M. (2017). After Cesarean vesicouterine fistula (Youssef Syndrome) with successful conservative management. Urogynaecologia, 30(1). https://doi.org/10.4081/uij.2017.199

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