Youssef's syndrome: preservation of uterine function with subsequent successful pregnancy following surgical repair.
We report a 30-year-old female with vesicouterine fistula (Youssef's syndrome). Surgical therapy included transabdominal repair of bladder and uterus with interposition of greater omentum. Uterine function was preserved with subsequent successful pregnancy and delivery of a healthy baby boy by elective Cesarean section at 36 weeks' gestation. The details of the case are discussed and the literature is reviewed regarding fertility and pregnancy after surgical repair.
Department of Urology, Stanford University Hospital, Calif. 94305.
M M
MM
Issa
H P
HP
Schmid
T A
TA
Stamey
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D017604:Cesarean Section, Repeat; D005260:Female; D005402:Fistula / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D009852:Omentum / Q000601:surgery; D011247:Pregnancy; D013577:Syndrome; D001747:Urinary Bladder Fistula / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D014591:Uterine Diseases / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery