Youssef’s Syndrome: Preservation of Uterine Function with Subsequent Successful Pregnancy following Surgical Repair

Abstract

We report a 30-year-old female with vesicouterine fistula (Youssef’s syndrome). Surgical therapy included transabdominal repair of bladder and uterus with interposition of greater omentum. Uterine function was preserved with subsequent successful pregnancy and delivery of a healthy baby boy by elective Cesarean section at 36 weeks’ gestation. The details of the case are discussed and the literature is reviewed regarding fertility and pregnancy after surgical repair.

Successful Pregnancy Following Repair of Vesicouterine Fistula Following Repeat Caesarean Section: A Case Report

“…10 Successful pregnancy and delivery by caesarean section after fistula repair has been reported. 11 In our case successful repair of the uterovesical fistula was done and patient became pregnant This pregnancy has produced a new turn of life from misery to happiness in this lady.…”

Management of Vesicouterine Fistula with Abdominal Approach

“…20 Transabdominal yolla cerrahi onarımda, mesane ve uterus arasına omental doku ya da abdominal yağdan hazırlanan bir destek dokusunun yerleştirilmesi önerilmektedir. 22,23 Ockrim ve ark.nın çalışmasında %94 başarı oranı bildirilmiştir. 24 Genital bir patoloji mevcut iken, menopoz veya menopoza yakın multipar kadınlarda, servikal defekti kapatmanın imkânsız olduğu ve yoğun skar dokusundaki fistülün görselleştirilmesinin zor olduğu hastalarda, total histerektomi VUF tamiri ile birlikte endike olabilmektedir.…”

“…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.…”

A Case of Vesicouterine Fistula: Unwanted Medical Anomaly but Consequentiality of Most-Wanted Medical Intervention ‘Caesarean Section’

“…Post-operatively bladder can be drained for as long as 3 weeks. Meticulous & must follow-up of correctly repaired fistula following Caesarean section is required during following pregnancy cases [11].…”