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Omental graft use in Youssef syndrome
Ekrem Sapmaz1, Husnu Celik, Atilla Semerciöz
1Department of Urology, Obstetrics and Gynecology, Firat University Medical School, Elazig, Turkey. ekremlangaza@hotmail.com
Objective:
To investigate the use of omental graft following the repair of fistula between bladder and uterus (Youssef syndrome).
Methods:
Primary repair was performed on four women who had developed vesico-uterine/vesico-cervical fistula and infertility due to previous low segment caeserean between October 1997 and January 2001. An omental graft of 4cm x 3.5cm was placed between bladder and uterus.
Results:
Repair was successful in all four patients. Complaints of amenorrhea, menouria and in three patients urine-type vaginal flux disappeared. Three patients did not want pregnancy, so contraceptives were administered. The fourth patient conceived after 4 months.
Conclusions:
This operation is both simple and effective. Fertility is recovered quickly.