Abstract:
A vesicouterine fistula is an abnormal pathway
between the urinary bladder and the uterus. It is a
rare urogynaecological fistula. In vesicouterine
fistula, clinical presentations are cyclic haematuria
(menouria), amenorrhoea, urinary continence which
mimics Youssef’s syndrome. This case presents, a
37 year old multiparous woman with vesicouterine
fistula which she developed 8 years after cesarean
section. Diagnosis was confirmed by cystoscopy and
fistula was repaired through trans abdominal
surgery. She regained normal vaginal menses 4
months after surgery.
Keywords: vesicouterine fistula, delayed complication,
Youssef’s syndrome, cystoscopy.