title: Omental graft use in Youssef syndrome.
abstract: 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.
authors.affiliation: Department of Urology, Obstetrics and Gynecology, Firat University Medical School, Elazig, Turkey. ekremlangaza@hotmail.com
authors.forename: Ekrem
authors.initials: E
authors.lastname: Sapmaz
authors.forename: Husnu
authors.initials: H
authors.lastname: Celik
authors.forename: Atilla
authors.initials: A
authors.lastname: Semerciöz
mesh_terms: 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*