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Youssef's Syndrome following Cesarean Section
Ozer Birge1, Ertugrul Gazi Ozbey2, Mustafa Melih Erkan3
1Department of Gynecology and Obstetrics, Nyala Sudan Turkey Training and Research Hospital, Nyala, Darfur, Sudan.
Case Reports in Obstetrics and Gynecology
|October 13, 2015
Summary
Youssef's syndrome, a rare condition involving cyclic hematuria, amenorrhea, and urinary incontinence, is caused by a vesicouterine fistula. Early diagnosis and surgical intervention are crucial for definitive treatment.
Area of Science:
- Urogynecology
- Surgical Gynecology
Background:
- Youssef's syndrome is a rare condition characterized by cyclic hematuria, amenorrhea, and urinary incontinence.
- It results from a vesicouterine fistula (VUF), an abnormal connection between the bladder and uterus, often caused by Cesarean sections.
Purpose of the Study:
- To present a case of Youssef's syndrome in a multiparous woman.
- To discuss the diagnosis and management of vesicouterine fistulas.
Main Methods:
- Case report of a 40-year-old multiparous woman with VUF one year post-Cesarean section.
- Literature review of previously published studies on Youssef's syndrome and VUF.
Main Results:
- The patient presented with classic symptoms of Youssef's syndrome: urinary incontinence, hematuria, and amenorrhea.
- The case highlights the variable clinical presentation and diagnostic challenges of VUF.
Conclusions:
- Vesicouterine fistula should be suspected in patients with a history of Cesarean section presenting with urinary incontinence, even years later.
- While conservative management may be considered, surgical repair is the definitive treatment for VUF.
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