Youssef’s Syndrome following Cesarean Section

Birge, Özer; Ozbey, Ertugrul Gazi; Erkan, Mustafa; Arslan, Deniz; Kayar, İlkan

doi:10.1155/2015/605325

Cited by 20 publications

(37 citation statements)

References 12 publications

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“…Two women had menouria only while11 had menouria with continuous involuntary leakage of urine. Although the complaint of menouria is consistent in our study, the presentation of vesicouterine syndrome has showed some variation from the triad described by Youssef as some patients present with involuntary leakage of urine and even normal menstruation depending on the level of the injury to the bladder [3,[6][7][8][9][10]. The cause of the urinary incontinence is the communication between the bladder and the uterine cavity allowing leaking of urine through the cervix into the vagina.…”

Section: Previous Cs No Previous Cs Totalsupporting

confidence: 76%

“…Hence thorough evaluation is necessary for diagnosis [8]. Some authors have indeed suggested that vesicouterine fistula should be suspected in any woman presenting with urinary incontinence even years after caesarean section [7,19].…”

Section: Previous Cs No Previous Cs Totalmentioning

confidence: 99%

“…It can also occur following instrumental vaginal deliveries or vaginal birth after previous lower segment caesarean sections [4,5]. The symptomatology has showed some variation from the traditional combination described by Youssef as a number of the women present with involuntary leakage of urine and normal menstruation depending on the level of the injury to the bladder [3,[6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Previous Cs No Previous Cs Totalsupporting

confidence: 76%

Section: Previous Cs No Previous Cs Totalmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Daniyan¹,

Adeoye²

2016

Gynecol Obstet

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“…Kinpe and colleagues in 1908 reported the first case of VUF. 3 It is named after the Egyptian gynaecologist Abdel Fattah Youssef. Youssef in 1957 described the vesicouterine fistula with classical triad of urinary incontinence, cyclic haematuria (menouria) and amenorrhoea.…”

Section: Introductionmentioning

confidence: 99%

“…Repeated caesarean section doubles the risk of VUF. 3 Other less common causes of VUF are dilatation and curettage, uterine rupture, placenta percreta, instrumental delivery, manual removal of placenta, obstructed labor. Other least frequent causes are migrated intrauterine contraceptive device, brachytherapy, inflammatory bowel disease, endometriosis, bladder tuberculosis and congenital lesions.…”

Section: Introductionmentioning

confidence: 99%

Youssef’s syndrome following caesarean section: a rare case with review of literature

Devkare

Gothwal

Gaikwad

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Youssef’s syndrome is a rare condition characterized by vesicouterine fistula with cyclic haematuria, amenorrhoea and incontinence of urine. A vesicouterine fistula is an abnormal connection between the uterus and bladder that most commonly occur due to inadvertent injury to the bladder during lower segment caesarean section. Vesicouterine fistula leads to psychological and has the negative impact on quality of life. A high suspicion should be kept in mind if the patient presents with urinary incontinence even many years after caesarean section. However, conservative management may be appropriate in some cases, but the definitive mode of management is surgery. Hereby authors present a 22-year-old para 2 live 2 (previous 2 caesarean section) with vesicouterine fistula with the complaint of urinary incontinence, cyclical haematuria (menouria) and amenorrhoea a year after caesarean section done due to obstructed labour.

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Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention

Bonavina,

Busnelli,

Acerboni

et al. 2023

Intl J Gynecology & Obste

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BackgroundVesicouterine fistula (VUF) is a iatrogenic injury in the vast majority of cases. The worldwide increase of cesarean delivery rates is expected to lead to increased complications.ObjectivesTo assess current evidence on VUF pathogenesis and surgical management.Search StrategyPubmed and Embase databases were searched from January 2000 to January 2023 using relevant key words.Selection CriteriaOnly original articles including either transabdominal or transvaginal surgical routes for post‐cesarean VUF repair, in English language, were included.Data Collection and AnalysisTwo authors independently screened the references for eligibility, data extraction, and assessment of methodologic quality. All available surgical outcomes were recorded.Main ResultsOf the 1160 studies retrieved, 67 were selected for analysis. Most of these were case reports, case series, or observational cohort studies including a total of 284 patients. The majority (78.6%) of patients had more than one cesarean section, and approximately 10% of them experienced an overt bladder injury and/or uterine rupture at the time of cesarean delivery. The supratrigonal part of the bladder was most commonly involved (92.5%). The majority of patients (88.8%) underwent delayed VUF repair through laparotomy. Length of stay and blood loss were significantly less in patients treated via a minimally invasive approach (P < 0.001 and P = 0.02, respectively). Most patients had double‐layer bladder repair and single‐layer uterine repair. The overall success rate was 100% on first attempt for each independent combination of different surgical approaches and techniques. Live birth following VUF repair was reported in 23 patients.ConclusionsPaying close attention to surgical details is crucial to reduce the incidence of this complication and recurrence rates. Double‐layer bladder closure and delayed timing of repair of VUF are recommended.

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Youssef’s Syndrome following Cesarean Section

Cited by 20 publications

References 12 publications

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

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

Youssef’s syndrome following caesarean section: a rare case with review of literature

Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention

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