Vesicouterine Fistula (Youssef Syndrome): Case Report and Literature Review

Abstract

Vesicouterine fistulae are becoming more common because of the increase in the performance of cesarean sections, and the condition must be considered a possible complication thereof.

Enigma portal case: Cytological diagnosis of vesicouterine fistula

“…The symptoms of VUF may include cyclical hematuria or menouria, amenorrhea, and urinary incontinence, though diagnosis is frequently delayed due to difficulties in identifying the fistulous passage 2 . Although confirmation is usually achieved by filling the bladder with dye or through cystoscopy, 2,4 VUF was diagnosed in this case based on cytological analysis. This reported case had initially been diagnosed as bladder malignancy due to atypical presentation, and malignancy was excluded through multiple stages of cytological staining.…”

Multipara with utero-vesical fistula following repeat cesarean section: a rare iatrogenic complication

“…Surgery in most cases, especially for large uterovesical fistulas is the treatment of choice. Surgical repair of uterovesical fistulas are performed by different approaches, which include vaginal, transvesical, transperitoneal and laparoscopic or robotic procedures [11] , [12] , [13] , [14] .…”

Atypical presentation of vesicouterine fistula (Youssef’s syndrome) post-caesarean gossypiboma: a case report

“…1 Aside from this, other aetiologies also abound and include prolonged labor; use of forceps; normal birth without previous cesarean; operative vaginal birth with vacuum extractor; placenta percreta; manual extraction of the placenta after normal delivery in a woman with previous cesarean; basiotripsy; excision of Gartner cyst; anterior colporrhaphy; endometrial ablation; excision of uterine fibroma after spontaneous necrosis of uterine fibroma; radiotherapy; pelvic trauma; arterial embolization for the treatment of uterine fibroma; invasion of a malignant tumor; tuberculosis; and actinomycosis. 7 There are also reports of this condition after cervical cerclage insertion, secondary to congenital malformations of the genitourinary tract as well as migration of an intrauterine dispositive or foreign body such as gossypiboma. 7 Gossypiboma is a term used to describe nonabsorbable surgical material such as gauze which is forgotten inadvertently during surgical intervention.…”

“…7 There are also reports of this condition after cervical cerclage insertion, secondary to congenital malformations of the genitourinary tract as well as migration of an intrauterine dispositive or foreign body such as gossypiboma. 7 Gossypiboma is a term used to describe nonabsorbable surgical material such as gauze which is forgotten inadvertently during surgical intervention. 8,9 Though rare, it has been implicated in the causation of patient morbidities and even mortality if not recognized and promptly managed.…”