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Youssef's syndrome.

N R Netto, P Q Santos

    International Urology and Nephrology
    |January 11, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Menouria, a rare condition causing cyclic hematuria, can occur after vesicovaginal fistula repair. Surgical intervention, such as hysterectomy, is effective for treating this urinary-uterine tract communication.

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    Area of Science:

    • Urology
    • Gynecology
    • Surgical Case Reports

    Background:

    • Vesicovaginal fistula repair is a common gynecological procedure.
    • Menouria, or Youssef's syndrome, is a rare complication characterized by cyclic hematuria.
    • This condition results from an abnormal communication between the bladder and the uterine cavity.

    Observation:

    • A case of menouria following vesicovaginal fistula repair is presented.
    • The patient exhibited cyclic hematuria, absence of vaginal bleeding, and complete urinary continence.
    • Diagnostic imaging, including cystoscopy, cystography, and hysterosalpingography, confirmed the vesicouterine fistula.

    Findings:

    • The diagnosis of menouria was confirmed through clinical presentation and imaging studies.
    • The underlying cause was identified as a direct communication between the bladder and the uterine cavity.

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  • Surgical management involved hysterectomy with successful closure of the bladder opening.

    • Implications:

    • This case highlights menouria as a potential, albeit rare, complication after vesicovaginal fistula repair.
    • Accurate diagnosis through imaging is crucial for effective treatment planning.
    • Surgical intervention offers a viable solution for managing this complex condition, referencing historical cases since 1935.