Omental graft use in Youssef syndrome.
OBJECTIVE
To investigate the use of omental graft following the repair of fistula between bladder and uterus (Youssef syndrome).


METHODS
Primary repair was performed on four women who had developed vesico-uterine/vesico-cervical fistula and infertility due to previous low segment caeserean between October 1997 and January 2001. An omental graft of 4cm x 3.5cm was placed between bladder and uterus.


RESULTS
Repair was successful in all four patients. Complaints of amenorrhea, menouria and in three patients urine-type vaginal flux disappeared. Three patients did not want pregnancy, so contraceptives were administered. The fourth patient conceived after 4 months.


CONCLUSIONS
This operation is both simple and effective. Fertility is recovered quickly.
Sapmaz
Ekrem
E
Department of Urology, Obstetrics and Gynecology, Firat University Medical School, Elazig, Turkey. ekremlangaza@hotmail.com
Celik
Husnu
H
Semerciöz
Atilla
A
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D009852:Omentum / Q000637:transplantation*; D013577:Syndrome; D001747:Urinary Bladder Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014567:Urography; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*