Youssef's syndrome, a rare complication of caesarean section: A case report.

Autor:	Diaouga HS; Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity Issaka Gazobi in Niamey, Niger. Electronic address: hamidousoumana21@gmail.com., Yacouba MC; Abdou Moumouni University, Department of Obstetrics and Gynecology, Mother and Child Health Center of Tahoua, Niger., Garba RM; Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity Issaka Gazobi in Niamey, Niger., Salifou I; Abdou Moumouni University, Department of Obstetrics and Gynecology, Mother and Child Health Center of Tahoua, Niger., Manzo MSO; Abdou Moumouni University, Department of Urology, Regional Hospital of Tahoua, Niger., Nayama M; Abdou Moumouni University, Department of Obstetrics and Gynecology, Maternity Issaka Gazobi in Niamey, Niger.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Apr; Vol. 117, pp. 109517. Date of Electronic Publication: 2024 Mar 10.
DOI:	10.1016/j.ijscr.2024.109517
Abstrakt:	Introduction and Importance: Youssef's syndrome or vesico-uterine fistula is an abnormal communication between the bladder and the uterus. It complicating of dystocic delivery, caesarean section and uterine rupture. The prevalence is globally 1-4 % of all obstetric fistulas. In Niger, it accounts for 6.4 % of iatrogenic urogenital fistulas. The best treatment is transvesical or transperitoneal surgery to close the bladder and uterus separately, with or without retaining the uterus. Case Presentation: We report a case of Youssef's syndrome secondary to caesarean section for uterine rupture in a 32-year-old woman. She consulted in our department for urinary incontinence occurred in the postoperative period. The diagnosis was made on clinical examination using the methylene blue test that is the only diagnosis method available in our setting. Treatment was initially medical with a bladder catheter until uterine involution (six weeks), followed by surgical cure using the Chassar-Moir technique. Discussion: Youssef's syndrome accounts 1-4 % in general population, 6.4 % in west Africa and 5,2 % in Niger. Various management were reported: Medical treatment, surgical treatment via transvesical, retroperitoneal and transperitoneal routes that remains the most indicated method and, cystoscopic fulguration and laparoscopic treatment that have recently been proposed. Conclusion: This study reminds practitioners to be more vigilant in preventing this complication during any pelvic surgery by ensuring: careful release of vesico-uterine adhesions, bladder leakage test and careful repair of any bladder wounds followed by postoperative bladder drainage. Competing Interests: Conflict of interest statement The authors declare having no conflicts of interest for this article. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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