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

Keskin MZ; Budak S; Can E; İlbey YÖ

doi:10.5489/cuaj.3258

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

Keskin MZ, Budak S, Can E, İlbey YÖ

Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2015 · doi:10.5489/cuaj.3258 · PMID:26834907 · PMC4707919

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This report describes the incidental diagnosis of Youssef syndrome, a vesicouterine fistula characterized by amenorrhea and cyclic hematuria, in a renal transplant donor twenty years after a second cesarean delivery.

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This case report describes a renal transplant donor who was incidentally diagnosed with a vesicouterine fistula, specifically Youssef’s syndrome, two decades after undergoing a second cesarean delivery. The authors highlight that this condition is rare, accounting for only 1–4% of genitourinary fistulas, and is characterized by the classic triad of amenorrhea, cyclic hematuria, and continuous urinary incontinence. The paper serves as a clinical reminder to consider this diagnosis in patients with unexplained cyclic symptoms following prior uterine surgery, even many years later. Relevance to endometriosis: listed as a differential diagnosis for pelvic pain and abnormal bleeding, though the paper's main focus is iatrogenic surgical complications rather than endometriosis or adenomyosis.

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Abstract

Vesicouterine fistula (VUF) is a very rare occurrence and is estimated to occur in only 1-4% of all genitourinary fistulas; 90% of cases are Youssef syndrome, which is accompanied by amenorrhea and cyclic hematuria (menouria). In this article, a renal transplant donor who was incidentally diagnosed with Youssef syndrome 20 years after a second cesarean delivery.

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Incidentally diagnosed post-cesarean vesicouterine fistula (Youssef’s syndrome) DOI: https://doi.org/10.5489/cuaj.3258Abstract Vesicouterine fistula (VUF) is a very rare occurrence and is estimated to occur in only 1–4% of all genitourinary fistulas; 90% of cases are Youssef syndrome, which is accompanied by amenorrhea and cyclic hematuria (menouria). In this article, a renal transplant donor who was incidentally diagnosed with Youssef syndrome 20 years after a second cesarean delivery.Downloads Downloads Published How to Cite Issue Section License You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA: - Post the Article on any Web site - Translate or authorize a translation of the Article - Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so - Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so. The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request. You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article. The CUA also requires you to warrant the following: - That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party; - That all individuals who have made a substantive contribution to the article are acknowledged; - That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and - That the Article does not libel or violate the privacy rights of any third party.

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