A Case Report of Post Cesarean Section Vesico-Uterine Fistula (Youssef’s Syndrome) and Review of the Literatures

Abstract

Background: - Vesico-uterine fistula is one of the rare types of urogenital fistula that accounts for only 1-4%. Repeat cesarean section is a known cause of vesico uterine fistula. Patients with Youssef's syndrome had a classic triad of absence of incontinence, amenorrhea, and cyclic hematuria. Case presentation: - A case of surgically managed post-cesarean section vesico-uterine fistula (Youssef's syndrome) patient after she presented with triads of cyclic hematuria, amenorrhea, and absence of urinary incontinence of 4 years duration which had managed by laparotomy with repair of fistulous tracts. Conclusion: - Patients with Youssef's syndrome can present at any time following cesarean section, and diagnosis needs a high index of suspicion. Surgical repair of the fistulous tract is the mainstay of management.