A Rare Complication After Cesarean Section: Vesicouterine Fistula

Eser Ördek,Eyyup Sabri Peli̇t,Bülent Kati

doi:10.17944/mkutfd.676883

Abstract

Vesicouterine fistulas are rarely seen (1-4%) genitourinary fistulas which occur mostly due to iatrogenic reasons related to gynecologic and obstetric surgeries. They are mostly caused by iatrogenic reasons. Vesicouterine fistulas which are seen after cesarean section, which are not accompanied by urinary incontinence but cause amenorrhea and cyclic hematuria are called Youssef syndrome. In this article, we aim to present a case of vesicouterine fistula which developed after the fifth cesarean section, in the light of the literature.

Highlights

Vesicouterine fistula is an infrequent disease group classified among genitourinary fistulas
Vesicouterine fistulas which are seen after cesarean section, which are not accompanied by urinary incontinence but cause amenorrhea and cyclic hematuria are called Youssef syndrome [2]
We aim to present a case of vesicouterine fistula which developed after the fifth cesarean section, in the light of the literature

Summary

Introduction

Vesicouterine fistula is an infrequent disease group classified among genitourinary fistulas. They are mostly caused by iatrogenic reasons [1]. Vesicouterine fistulas which are seen after cesarean section, which are not accompanied by urinary incontinence but cause amenorrhea and cyclic hematuria are called Youssef syndrome [2]. We aim to present a case of vesicouterine fistula which developed after the fifth cesarean section, in the light of the literature. It was learned that 3 months ago the fifth cesarean section was performed at an another center and the Foley catheter was removed and patient discharged on the postoperative 1st day. Patient states that in the postoperative period, there was intermittent hematuria for a month and this condition decreased gradually. Cystogram showed no contrast material extravasation from the bladder, but contrast agent transition was observed toward the posterior of the bladder, filling the uterine structure (Image 1)

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