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[Youssef's syndrome].

T Amine1, K el Moutacim, R Aboutaieb

  • 1Service de Gynécologie C, Maternité Lalla Meryem, CHU Ibn Rochd, Casablanca, Maroc. t-amine@.caramail.com

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|April 12, 2001
PubMed
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Youssef's syndrome, a rare vesico-uterine fistula, presents with cyclic amenorrhea and hematuria without urinary leakage. This condition arises from pressure differences between the uterine cavity and bladder.

Area of Science:

  • Gynecology
  • Urology
  • Surgical Pathology

Background:

  • Youssef's syndrome is an uncommon vesico-uterine fistula.
  • It is characterized by the clinical triad of cyclic amenorrhea, hematuria, and absence of urinary leakage.
  • The underlying pathophysiology involves a pressure gradient between the uterine cavity and the bladder.

Observation:

  • This report details a single case presentation of Youssef's syndrome.
  • Clinical manifestations observed in the case align with the established diagnostic criteria.

Findings:

  • The case confirms the characteristic association of cyclic amenorrhea and hematuria.
  • The absence of urinary leakage despite hematuria is a key diagnostic feature.
  • The findings support the proposed mechanism of pressure gradient as the etiology.

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Implications:

  • Accurate diagnosis of Youssef's syndrome is crucial for appropriate management.
  • Understanding the pressure dynamics can guide therapeutic interventions.
  • Further case reports may elucidate the full spectrum and management of this rare condition.