Journal of International Obstetrics and Gynecology ›› 2023, Vol. 50 ›› Issue (6): 641-643.doi: 10.12280/gjfckx.20230572

• Gynecological Disease & Related Research: Case Report • Previous Articles     Next Articles

Vesicouterine Fistula: A Case Report and Literature Review

XIAO Wan-ting, ZOU Qian()   

  1. School of Medical, Wuhan University of Science and Technology, Wuhan 430065, China (XIAO Wan-ting); Department of Gynecology, Maternal and Child Health Hospital of Hubei Province, Wuhan 430070, China (ZOU Qian)
  • Received:2023-07-24 Published:2023-12-15 Online:2023-12-13
  • Contact: ZOU Qian E-mail:13017226@qq.com

Abstract:

Vesicouterine fistula is a very rare type of urogenital fistula. The main symptoms are varying degrees of urineincontinence (vaginal leakage), periodic hematuria and amenorrhea. Vesicouterine fistula can be divided into three types.Type Ⅰ, also known as Youssef′s syndrome, is the most common type of vesicouterine fistula. Surgical repair is the main treatment. This paper reports a case of vesicouterine fistula presenting with Youssef′s syndrome, which was successfully repaired through laparoscopic surgery. After 4 years of follow-up, there was no hematuria and the menstrual cycle remained regular. Ultrasound examination indicated that the incision of the lower uterine segment and the rupture of the posterior bladder wall healed well.

Key words: Vesicouterine fistula, Youssef′s syndrome, Therapy, Cesarean section, Case reports