title: Cystographic images of Youssef syndrome: flower on top of the bladder.
abstract: Vesicouterine fistula after obstructed labor is very rare. Hysterosalpingography is the investigation of choice. Cystography primarily does not demonstrate the fistula because the intrauterine pressures are higher than the vesical pressure. A 38-year-old woman presented to us with vecisovaginal fistula and vesicouterine fistula that had developed 13 years earlier after obstructed labor and vaginal delivery of a stillborn neonate. She was found to have normal renal function, but she had developed small capacity bladder and the cystogram performed with Foley catheter showed contrast spilling into the uterus. She was managed by continent urinary diversion.
authors.affiliation: Department of Urology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India. goelapul1@rediffmail.com
authors.forename: Apul
authors.initials: A
authors.lastname: Goel
authors.forename: Sangeeta
authors.initials: S
authors.lastname: Goel
authors.forename: Bhupendra P
authors.initials: BP
authors.lastname: Singh
authors.forename: Satya N
authors.initials: SN
authors.lastname: Sankhwar
mesh_terms: D000328:Adult; D003558:Cystoscopy; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging*; D006801:Humans; D011859:Radiography; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging*; D002577:Uterine Cervical Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014719:Vesicovaginal Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging*