Youssef's Syndrome: An Unusual Case of Post Caesarean Uterovesical Fistula

Abstract

Uterovesical fistula without vaginal leakage of urine, cyclic hematuria and amenorrhea is a rare condition. It is referred to as Youssef's syndrome. The most common cause of this syndrome is trauma during cesarean section. Herein, a case is reported in which a P4L4 presented to the outpatient department with incisional hernia following four lower segment cesarean sections along with secondary amenorrhea and cyclic hematuria for the past 4 years. A diagnosis of the uterovesical fistula with incisional hernia was made. Cystoscopy and hysterosalpingography confirmed the diagnosis. Mesh hernioplasty with fistula repair was planned and done along with hysterectomy.

Keywords

• Amenorrhea
• caesarean section
• hematuria
• uterovesical fistula
• Youssef's syndrome