After Cesarean vesicouterine fistula (Youssef Syndrome) with successful conservative management

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Julián Oñate Celdrán
Francisco M. Gonzalez Valverde *
(*) Corresponding Author:
Francisco M. Gonzalez Valverde | migova67@gmail.com

Abstract

Vesicouterine fistula without vaginal leakage of urine, cyclic hematuria and amenorrhea is a rare condition, identified as Youssef’s syndrome. The most common cause of this syndrome is trauma during a cesarean section. Different therapeutical approaches that include conservative treatment, fulguration, hormonal therapy and open, laparoscopic or robotic surgeries have been mentioned in the literature. Herein a case in a 37-year-old patient is reported. Conservative treatment with urinary drainage was successful because the fistula was recognized in the immediate postoperative period.

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Author Biographies

Julián Oñate Celdrán, Department of Urology, Reina Sofia General University Hospital, Murcia

Urologist. Service of Urology

Francisco M. Gonzalez Valverde, Department of Surgery, Pediatrics and Obstetrics and Gynecology, Reina Sofia General University Hospital, Murcia

Associate professor.  Department of Surgery, Pediatrics and Obstetrics and Gynecology.  UniversityofMurcia