scholarly journals Youssef’s Syndrome following Cesarean Section

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Ozer Birge ◽  
Ertugrul Gazi Ozbey ◽  
Mustafa Melih Erkan ◽  
Deniz Arslan ◽  
Ilkan Kayar
Keyword(s):  
Urinary Incontinence ◽  
Cesarean Section ◽  
Diagnostic Tests ◽  
Vaginal Bleeding ◽  
Clinical Presentation ◽  
Definitive Treatment ◽  
Lower Segment ◽  
Vesicouterine Fistula ◽  
Lower Segment Cesarean Section ◽  
Variable Clinical Presentation

Youssef’s syndrome is characterized by cyclic hematuria (menouria), absence of vaginal bleeding (amenorrhea), and urinary incontinence due to vesicouterine fistula (VUF), the least common of the urogynecological fistulas. Youssef’s syndrome has a variable clinical presentation. A vesicouterine fistula is an abnormal pathway between the bladder and the uterus. The most common cause is lower segment Cesarean section. Conservative treatment may be appropriate in some cases, but surgery is the definitive treatment. Vesicouterine fistula should be suspected in cases presenting with urinary incontinence even years after Cesarean section. Diagnostic tests as well as necessary appropriate surgery should be performed on cases with suspected vesicouterine fistula. We present a 40-year-old multiparous woman with vesicouterine fistula after primary Cesarean section; she presented with urinary incontinence, hematuria, and amenorrhea 1 year after the birth. Here, we discuss our case with the help of previously published studies found in the literature.

scholarly journals Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature

2014 ◽  
Vol 8 (1-2) ◽  
pp. 48 ◽  
Author(s):  
Funda Gungor Ugurlucan ◽  
Ercan Bastu ◽  
Baris Bakir ◽  
Onay Yalcin
Keyword(s):  
Methylene Blue ◽  
Urinary Incontinence ◽  
Cesarean Section ◽  
Bladder Wall ◽  
Total Abdominal Hysterectomy ◽  
Definitive Treatment ◽  
Blue Dye ◽  
Bilateral Oophorectomy ◽  
Vesicouterine Fistula ◽  
Lower Segment Cesarean Section

A vesicouterine fistula is an abnormal communication between the bladder and the uterus. The most common cause is lower segment Cesarean section. Conservative treatment may be applied in some cases, but surgery is the definitive treatment. We present a 55-year-old woman with vesicouterine fistula after primary Cesarean section; she presented with urinary incontinence 30 years later. Methylene blue dye test was performed and drainage of urine dyed with methylene blue through the uterine cervix was observed. Diagnosis was confirmed with magnetic resonance imaging. Total abdominal hysterectomy and bilateral oophorectomy was performed and the bladder wall was sutured in a double layer with 2/0 polyglycolic suture. No complications developed and the patient did not suffer from any urinary incontinence afterwards. Vesicouterine fistula should be suspected in cases presenting with urinary incontinence even years after Cesarean section; diagnostic tests and, if necessary, appropriate surgery should be performed.

scholarly journals Successful Repair of Iatrogenic Cyclical Menouria

2018 ◽  
Vol 30 (1) ◽  
pp. 70-72
Author(s):  
Mosammat Nargis Shamima ◽  
Rubayet Zereen ◽  
Monwara Begum ◽  
Nurjahan Akter ◽  
Mst Rowshan Ara Khatun ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Vaginal Bleeding ◽  
Recurrent Urinary Tract Infection ◽  
Rare Occurrence ◽  
Lower Segment ◽  
Vesicouterine Fistula ◽  
Lower Segment Caesarean Section ◽  
Post Operative Period ◽  
Rare Occasion ◽  
Successful Repair

Vesicouterine fistula (VUF) is a very rare occurrence and is estimated to occur in only (1-4%) of all genitourinary fistulas. It is an abnormal pathway between the bladder and the uterus. The most common cause is lower segment caesarean section. Patients usually present in the early post operative period with the problem of continuous urinary incontinence. On the rare occasion, recurrent urinary tract infection, recurrent gross painless haematuria, or secondary infertility associated with secondary amenorrhoea would be the presenting complaint. Among all vesicouterine fistula 90% are Youseef’s Syndrome the least common of the urogynaecological fistulas. Youseef’s syndrome is characterized by cyclic haematuria (menouria), absence of vaginal bleeding (amenorrhea) and urinary incontinence due to vesicouterine fistula (VUF).TAJ 2017; 30(1): 70-72

scholarly journals A Rare Case of Nocturnal Urinary Incontinence and Menuria after Lower Segment Cesarean Section

2016 ◽  
Vol 2 (1) ◽  
pp. 23-25
Author(s):  
Sindhu Bhute ◽  
Priyakshi Chaudhry ◽  
Deepti S Shrivastava ◽  
Suhas Jajoo
Keyword(s):  
Urinary Incontinence ◽  
Cesarean Section ◽  
Rare Case ◽  
Urinary Continence ◽  
Lower Segment ◽  
Gnrh Analog ◽  
Obstructed Labor ◽  
Lower Segment Cesarean Section ◽  
Youssef Syndrome ◽  
Selection Of

ABSTRACT Misgav Ladach technique for lower segment cesarean section (LSCS) is considered advantageous universally, but debate still continues about nonclosure in layers and further consequences; hence, careful selection of cases and intraoperative decision of closure in layers is important. The classical Youssef's syndrome comprises cyclic hematuria, amenorrhea, menuria, and complete urinary continence in a patient who had LSCS. Hereby, we present a case report of a woman who suffered with chronic pelvic pain, menuria, and nocturnal eneuresis after her LSCS for obstructed labor, although not exactly the same as Youssef syndrome but rare in occurrence and relieved after adhesiolysis and gonadotropin-releasing hormone (GnRH) analog therapy. How to cite this article Chaudhry P, Shrivastava DS, Bhute S, Jajoo S. A Rare Case of Nocturnal Urinary Incontinence and Menuria after Lower Segment Cesarean Section. J Med Sci 2016;2(1):23-25.

scholarly journals The Use of an Anterior Abdominal Wall Peritoneal Flap in the Laparoscopic Repair of Vesicouterine Fistula

2014 ◽  
Vol 99 (5) ◽  
pp. 673-676 ◽  
Author(s):  
Nicel Tasdemir ◽  
Remzi Abali ◽  
Cem Celik ◽  
Cenk Murat Yazici ◽  
Didem Akkus
Keyword(s):  
Urinary Incontinence ◽  
Cesarean Section ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Treatment Options ◽  
Laparoscopic Approach ◽  
Rare Type ◽  
Vesicouterine Fistula ◽  
Peritoneal Flap ◽  
Lower Segment Cesarean Section

Abstract Vesicouterine fistula (VUF) is a rare type of genitourinary fistula. Lower-segment cesarean section is the leading cause of VUF. Patients mostly present with the classical triad of menouria, amenorrhea, and urinary incontinence, with the history of a previous cesarean section. Conservative management with catheterization and open, laparoscopic, and robotic surgeries are the prescribed treatment options. We present the case of a 35-year-old woman who presented with cyclical menouria and urinary incontinence. After diagnosis of VUF by cystoscopy, the laparoscopic approach was chosen. During the procedure, we used anterior abdominal wall peritoneum and adjacent adipose tissue interposition for the first time, instead of omental interposition, because of the unavailability of omentum. The postoperative period was uneventful, and the procedure was successful. In conclusion, the laparoscopic approach is feasible and the anterior abdominal wall peritoneal flap can be used instead of omentum for tissue interposition when the omentum is not available.

scholarly journals Epigastric pain after intravenous administration of oxytocin in patients undergoing lower segment cesarean section: A quasi experimental study comparing intravenous bolus with infusion technique

2020 ◽  
Vol 24 (1) ◽  
pp. 50-53
Author(s):  
Ali Kashif ◽  
Rizwana Bashir Kiani ◽  
Syed Muhammad Asad Shabbir ◽  
Tariq Mahmood ◽  
Ghulam Sabir ◽  
...  
Keyword(s):  
Experimental Study ◽  
Cesarean Section ◽  
Epigastric Pain ◽  
Intravenous Bolus ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Quasi Experimental ◽  
Group A ◽  
Group B ◽  
Infusion Technique

Aim: To compare the frequency of epigastric pain and uterotonic effect of an equivalent dose of oxytocin administered as an intravenous bolus versus intravenous infusion during elective LSCS under spinal anesthesia. Methodology: We recruited 98 parturients undergoing elective LSCS under spinal anesthesia for this prospective quasi experimental study and divided them into two groups. Group-A received 5 IU of oxytocin as bolus intravenous (IV) injection in 5 sec (bolus group, n= 48), and Group-B (infusion group, n= 50) received 5 IU of oxytocin as an infusion over 5 min. Any complaint of epigastric pain by the patients was noted and its frequency was compared between the two groups. The uterine tone was assessed as adequate or inadequate by an obstetrician. The data were entered into SPSS version 22. Patient demographic data were analyzed with independent samples T-test and the study data were analyzed with Chi‑square test and presented as n (%). p < 0.05 was considered statistically significant. Results: Epigastric pain was noted in 25 (52.03%) out of 48 parturients in Group-A and 15 (30%) out of 50 in Group-B (p = 0.026). There was no significant difference in the uterotonic effect of oxytocin between the two groups (p = 0.736). Conclusion:  We conclude that oxytocin infusion is associated with lower frequency of epigastric pain in elective LSCS when compared to intravenous bolus of an equivalent dose of oxytocin, However, the effect on uterine contractions was adequate with both methods. Citation: Kashif A, Kiani RB, Shabbir SMA, Mahmood T, Sabir G, Fatima NE, Khan WA. Epigastric pain after intravenous administration of oxytocin in patients undergoing lower segment cesarean section: A quasi experimental study comparing intravenous bolus with infusion technique. Anaesth pain intensive care 2020;24(1):_ DOI: https://doi.org/10.35975/apic.v2i1. Received – 20 February 2019; Reviewed – 4, 16 March, 25 June, 9 September, 2, 25 November, 10 December 2019, 7 January 2020; Revised – 19 June, 10 August, 29 September, 1 November 2019, 6 January 2020; Accepted – 10 January 2020;

Delayed presentation of postcaesarean section vesicouterine fistula repaired robotically

2021 ◽  
Vol 14 (1) ◽  
pp. e234902
Author(s):  
Edward Ramez Latif ◽  
Mohammed Kamil Quaraishi ◽  
Davon Mitchell ◽  
Edward Streeter
Keyword(s):  
Urinary Incontinence ◽  
Caesarean Section ◽  
Vaginal Bleeding ◽  
Delayed Presentation ◽  
Premenopausal Patient ◽  
Robotic Assisted ◽  
Vesicouterine Fistula ◽  
Flexible Cystoscopy ◽  
Symptomatic Anaemia ◽  
History Of

A premenopausal patient in her late forties presented with a 15-year history of urinary incontinence starting shortly after a caesarean section performed for her fourth delivery and more recently associated episodic light haematuria and passage of clots per vagina. The haematuria was intermittent over several months and associated with per-vaginal bleeding. She had symptomatic anaemia. Flexible cystoscopy and MRI showed a vesicouterine fistula. She underwent a robotic-assisted hysterectomy and multi-layered repair of the bladder with omental interposition. She remained in the hospital for 4 days, though recovered well and underwent catheter removal at 14 days following a normal cystogram. At 3 months, she was well with no incontinence or urinary symptoms. This case demonstrates the need for vigilance in assessing patients with persistent incontinence, particularly in the context of prior caesarean section. It highlights the feasibility of robotic surgery for correcting these defects in a society where minimally invasive surgery is becoming the norm, and cosmesis is a priority for patients.

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