Unusual case of post‐cesarean vesicouterine fistula (Youssef's syndrome)

Kılınç, Ferhat; Bağış, Tayfun; Güvel, Sezgin; Eğilmez, Tulga; Özkardeş, Hakan

doi:10.1046/j.0919-8172.2003.00599.x

Cited by 25 publications

(25 citation statements)

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“…3,19 Urinary infection is treated with a conservative approach and the patient is followed up for three weeks via catheterizing the bladder. Surgical approach is performed for all wide fistulas and small fistulas that do not have spontaneous recovery after a three-month conservative followup.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 In the VUF that occurs in 1-4% of all urogenital fistulas, most patients do not experience any urinary incontinence. [2][3][4] Although VUF can be seen after primary cesarean delivery, it is most commonly seen after multiple cesarean sections and incidence tends to increase with incremental use of low-segment cesarean section. [5][6][7] In this report, we present a VUF case incidentally detected 20 years after second cesarean section.…”

Section: Introductionmentioning

confidence: 99%

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Incidentally diagnosed post-cesarean vesicouterine fistula (Youssef’s syndrome)

Keskın

Budak

Can

et al. 2015

CUAJ

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidentally diagnosed post-cesarean vesicouterine fistula (Youssef’s syndrome)

Keskın

Budak

Can

et al. 2015

CUAJ

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“…Youssef's syndrome was described following a lower segment caesarean section [1]. Numerous authors have also consistently discussed the role of caesarean section in the causation of this condition [3,6,8,12,13,16,17]. The implication of this is that the prevalence may increase due to the increasing use of caesarean delivery.…”

Section: Discussionmentioning

confidence: 99%

Review of Vesicouterine Fistula at the National Obstetric Fistula Centre,\ Abakaliki, Nigeria

Daniyan¹,

Adeoye²

2016

Gynecol Obstet

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Background: Vesicouterine fistula is a rare type of genital fistula. It is a cause of urinary incontinence in our environment. It usually results from caesarean section. The study was undertaken to document our experience in the management of this condition.Methodology: This is a retrospective study carried out at the National Obstetric Fistula Centre, Abakaliki, Nigeria from January 2013 to October 2015. Records of women with vesicouterine fistula were retrieved. Information on age, parity, predisposing factors, aetiology, presentation, diagnosis, management and outcomes of repair were obtained. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 20.Results: Vesicouterine fistula was seen in 13 out of 619 women constituting 2.1% of all genital fistulas. The mean age of the women was 37.4 ± 9.9 years with 53.5% of them between 30-39 years. Of the 12 women who had term pregnancies, 3 (25%) had no previous caesarean section, 4 (33.3%) had 1 previous caesarean section and 5 (41.7%) had 2 previous caesarean sections making previous caesarean section a predisposing factor in 75% of cases. Fistula occurred following caesarean section in 7 women (53.8%), vaginal delivery in 4 (30.8%), exploratory laparotomy due to uterine rupture in 1 (7.7%) and dilatation and curettage in 1 (7.7%). All 4 women whose fistula followed vaginal delivery had previous caesarean section. All the 13 women presented with menouria. Two (15.4%) had menouria only while11 (84.6%) had menouria with urinary incontinence. In 6 women (46.2%), diagnosis was clinical. Hysterosalpingogram was employed in 1 patient. All the women had surgical repair via the retropubic extraperitoneal approach. Fistula was closed in all 13 women. Conclusion:Vesicouterine fistula is uncommon and usually follows caesarean section. Previous caesarean section is an important predisposing factor. It presents commonly as menouria and urinary incontinence. Outcomes of repair are excellent.

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“…Bazen VUF asemptomatiktir veya sadece sulu vajinal akıntı ile kendini göstermektedir. 6 VUF'lerin çoğunluğu cerrahi onarım gerektirmektedir. Sadece %5'inde konservatif tedaviye yanıt alınmaktadır.…”

Section: Vezikouterin Fistül Onarımlarındaunclassified

“…Ancak, postoperatif "de novo urgency" şikâyetleri olan 2 (%50) hastaya postoperatif dönemde antimuskarinik ilaç başlandı. Ortalama 14,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] aylık izlemlerde hiçbir hastada nüks saptanmadı.…”

Section: Bulgularunclassified