{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T04:16:46Z","timestamp":1785039406891,"version":"3.55.0"},"reference-count":60,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"09","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>\n            Objective\u2003To describe a case of vesicouterine fistula and to review the literature related to this condition.<\/jats:p><jats:p>\n            Methods\u2003For the review, we accessed the MEDLINE, BIREME and LILACS databases; the references of the searched articles were also reviewed.<\/jats:p><jats:p>\n            Results\u2003A 38-year-old woman, in the 1st day after her 3rd cesarean, presented heavy hematuria, which was considered secondary to a difficult dissection of the bladder. A total of 6 months after delivery, she failed to resume her regular menstrual cycles and presented cyclic menouria and amenorrhea. At this time, she had two episodes of urethral obstruction by blood clots. She remained without a correct diagnosis until about two years postdelivery, when a vesicouterine fistula was confirmed through cystoscopy. A surgical correction through open abdominal route, coupled with hysterectomy, was performed. After the surgery, the symptoms disappeared. The review showed a tendency of change in the relative frequency of the different types of genitourinary fistulae. Vesicovaginal fistulae, usually caused by inadequate care during labor, are becoming less frequent than those secondary to medical procedures, such as vesicouterine fistulae. The most common cause of this latter kind of fistula is cesarean section, especially repeated cesarean sections. The diagnosis is confirmed through one or more imaging exams, or through cystoscopy. The most common treatment is surgical, and the routes are: open abdominal, laparoscopic, vaginal or robotic. There are some reports of success with the conservative treatment.<\/jats:p><jats:p>\n            Conclusion\u2003Vesicouterine fistulae are becoming more common because of the increase in the performance of cesarean sections, and the condition must be considered a possible complication thereof.<\/jats:p>","DOI":"10.1055\/s-0038-1666998","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T22:44:36Z","timestamp":1537397076000},"page":"563-569","source":"Crossref","is-referenced-by-count":22,"title":["Vesicouterine Fistula (Youssef Syndrome): Case Report and Literature Review"],"prefix":"10.61622","volume":"40","author":[{"given":"Reynaldo Augusto","family":"Machado Junior","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Municipal Universit\u00e1rio de S\u00e3o Bernardo do Campo, S\u00e3o Bernardo do Campo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds Carlos","family":"Machado Junior","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Municipal Universit\u00e1rio de S\u00e3o Bernardo do Campo, S\u00e3o Bernardo do Campo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00facio Louren\u00e7o e","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Hospital Paulistano, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2018,9,19]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/S0020-7292(97)02837-3","article-title":"Vesicouterine fistula--an analysis of 24 cases from Poland","volume":"57","author":"M J\u00f3\u017awik","year":"1997","journal-title":"Int J Gynaecol Obstet"},{"key":"ref2","volume-title":"Berek & Novak's Gynecology. 15th ed","author":"J S Berek","year":"2012"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1159\/000030388","article-title":"Spontaneous closure of vesicouterine fistula. Account for effective hormonal treatment","volume":"62","author":"M J\u00f3\u017awik","year":"1999","journal-title":"Urol Int"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/0002-9378(57)90384-8","article-title":"Menouria following lower segment cesarean section; a syndrome","volume":"73","author":"A F Youssef","year":"1957","journal-title":"Am J Obstet Gynecol"},{"issue":"04","key":"ref5","first-page":"641","article-title":"[Vesicouterine fistula: report on 15 cases at Cotonou University Urology Clinic]","volume":"12","author":"R Hodonou","year":"2002","journal-title":"Prog Urol"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1007\/BF01901500","article-title":"Vesicouterine fistula: an updated review","volume":"9","author":"S K Yip","year":"1998","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S0020-7292(00)00247-2","article-title":"Clinical classification of vesicouterine fistula","volume":"70","author":"M J\u00f3zwik","year":"2000","journal-title":"Int J Gynaecol Obstet"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/j.1445-2197.2006.03591.x","article-title":"Post caesarean vesicouterine fistulae-- Youssef syndrome: our experience and review of published work","volume":"76","author":"M P Rao","year":"2006","journal-title":"ANZ J Surg"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1007\/s11255-006-9076-7","article-title":"Minimal invasive treatment of vesicouterine fistula: a case report","volume":"39","author":"F Tarhan","year":"2007","journal-title":"Int Urol Nephrol"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1023\/A:1024443822378","article-title":"Vesicouterine fistulas following cesarean section: report on a case, review and update of the literature","volume":"34","author":"A B Porcaro","year":"2002","journal-title":"Int Urol Nephrol"},{"issue":"02","key":"ref11","first-page":"97","article-title":"Endometriosis arises from implant of endometriotic cells outside the uterus: a report of active vesicouterine centrifugal fistula","volume":"28","author":"D Dodero","year":"2001","journal-title":"Clin Exp Obstet Gynecol"},{"issue":"04","key":"ref12","first-page":"228","article-title":"Lochiauria: a new entity\u2013(a case report)","volume":"35","author":"S V Parulekar","year":"1989","journal-title":"J Postgrad Med"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.ijgo.2007.05.001","article-title":"The effect of urine on the endometrium","volume":"99","author":"A Ingelman-Sundberg","year":"2007","journal-title":"Int J Gynaecol Obstet"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"460","DOI":"10.3109\/21681805.2014.903511","article-title":"Diagnosis, treatment and need for hysterectomy in management of postcaesarean section vesicouterine fistula","volume":"48","author":"B Ali-El-Dein","year":"2014","journal-title":"Scand J Urol"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1016\/j.urology.2012.01.032","article-title":"Cystographic images of Youssef syndrome: flower on top of the bladder","volume":"79","author":"A Goel","year":"2012","journal-title":"Urology"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/s00192-009-1029-0","article-title":"Sonohysterography in evaluation of Youssef's syndrome","volume":"21","author":"I V Fenkci","year":"2010","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"07","key":"ref17","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1111\/j.1447-0756.2010.01428.x","article-title":"Post-cesarean vesicouterine fistula (Youssef syndrome): report of two cases","volume":"37","author":"J I Ikechebelu","year":"2011","journal-title":"J Obstet Gynaecol Res"},{"issue":"08","key":"ref18","first-page":"398","article-title":"[Vascularization of the posterior wall of the urinary bladder in women after past cesarean section in light of microangiographic studies]","volume":"63","author":"F Czerwi\u0144ski","year":"1992","journal-title":"Ginekol Pol"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s00192-005-0025-2","article-title":"Vesicouterine fistula: a review of eight cases","volume":"17","author":"C S DiMarco","year":"2006","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"06","key":"ref20","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1007\/s00192-005-1288-3","article-title":"Vesicouterine fistula as a complication of forceps delivery: a case report","volume":"16","author":"Y Nouira","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1097\/01.AOG.0000164053.46449.46","article-title":"Spontaneous intrapartum vesicouterine fistula","volume":"107","author":"B Kaaki","year":"2006","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref22","first-page":"168","article-title":"An unusual case of Youssef's syndrome (vesicouterine fistula) and its relationship with placenta percreta","volume":"17","author":"S M Majeed","year":"2007","journal-title":"J Coll Physicians Surg Pak"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/S0301-2115(98)00305-4","article-title":"Vesicouterine fistula after manual removal of placenta in a woman with previous cesarean section","volume":"84","author":"A Set\u00fabal","year":"1999","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"06","key":"ref24","first-page":"481","article-title":"Fistule v\u00e9sico-ut\u00e9rine apr\u00e8s basiotrypsie. Cure chirurgicale. Gu\u00e9rison (\u00e0 propos d'un cas)","volume":"74","author":"A Le Mer","year":"1968","journal-title":"J Urol Nephrol (Paris)"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1097\/AOG.0b013e3181c846eb","article-title":"Vesico-uterine fistula after endometrial ablation in a woman with prior cesarean deliveries","volume":"115","author":"K E Rooney","year":"2010","journal-title":"Obstet Gynecol"},{"issue":"04","key":"ref26","first-page":"341","article-title":"Cyclical haematuria sequel to uterine myomectomy: a case report","volume":"21","author":"P IS Okafor","year":"2002","journal-title":"West Afr J Med"},{"issue":"10","key":"ref27","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1007\/s00192-011-1414-3","article-title":"Fistula between degenerated uterine leiomyoma and the bladder: case report","volume":"22","author":"D Fridman","year":"2011","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"06","key":"ref28","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1067\/mob.2002.128989","article-title":"Vesicouterine fistula after uterine artery embolization: a case report","volume":"187","author":"C J Sultana","year":"2002","journal-title":"Am J Obstet Gynecol"},{"issue":"02","key":"ref29","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1080\/01443610601157273","article-title":"Delayed presentation of vesicouterine fistula 12 months after uterine artery embolisation for uterine fibroids","volume":"27","author":"N Price","year":"2007","journal-title":"J Obstet Gynaecol"},{"issue":"12","key":"ref30","doi-asserted-by":"crossref","first-page":"1877","DOI":"10.1007\/s00192-015-2764-z","article-title":"Vesicouterine fistula and concomitant ureteric necrosis following uterine artery embolization for fibroid uterus","volume":"26","author":"T Javali","year":"2015","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"04","key":"ref31","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1016\/S0022-5347(17)36225-0","article-title":"Conservative treatment of a vesicocervical fistula resulting from Shirodkar cervical cerclage","volume":"149","author":"J Golomb","year":"1993","journal-title":"J Urol"},{"issue":"12","key":"ref32","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.1046\/j.1471-0528.2002.02036.x","article-title":"Vesicocervical fistula following insertion of a modified McDonald suture","volume":"109","author":"S D Kleeman","year":"2002","journal-title":"BJOG"},{"issue":"05","key":"ref33","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/j.jmig.2011.06.013","article-title":"Uterine preservation and vaginal reconstruction in a patient with congenital vaginal agenesis presenting with cyclic menouria","volume":"18","author":"M Erman-Akar","year":"2011","journal-title":"J Minim Invasive Gynecol"},{"issue":"01","key":"ref34","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/0301-2115(95)02251-1","article-title":"Prognosis of fertility after surgical closure of vesicouterine fistula","volume":"64","author":"W Lotocki","year":"1996","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"E48","DOI":"10.5489\/cuaj.1225","article-title":"Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature","volume":"8","author":"F G Ugurlucan","year":"2014","journal-title":"Can Urol Assoc J"},{"issue":"02","key":"ref36","doi-asserted-by":"crossref","first-page":"124","DOI":"10.4103\/0974-7796.110014","article-title":"Umbilical cord prolapsed through urethra: An unusual presentation of a vesico-uterine fistula","volume":"5","author":"A G Kamil","year":"2013","journal-title":"Urol Ann"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"5750710","DOI":"10.1155\/2016\/5750710","article-title":"Fettus in the bladder: rare complication of vesicouterine fistula","volume":"2016","author":"V Lesovoy","year":"2016","journal-title":"Case Rep Med"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"E913","DOI":"10.5489\/cuaj.3258","article-title":"Incidentally diagnosed post-cesarean vesicouterine fistula (Youssef's syndrome)","volume":"9","author":"M Z Keskin","year":"2015","journal-title":"Can Urol Assoc J"},{"issue":"01","key":"ref39","doi-asserted-by":"crossref","first-page":"139","DOI":"10.2214\/ajr.184.1.01840139","article-title":"Vesicouterine fistulas: imaging findings in three cases","volume":"184","author":"T Smayra","year":"2005","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref40","first-page":"75","article-title":"Les fistules v\u00e9sico-ut\u00e9rines. A propos de 30 cas","volume":"33","author":"A Benchekroun","year":"1999","journal-title":"Ann Urol (Paris)"},{"issue":"08","key":"ref41","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1007\/s00192-010-1356-1","article-title":"Primary menouria due to a congenital vesico-vaginal fistula with distal vaginal agenesis: a rarity","volume":"22","author":"V Singh","year":"2011","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"04","key":"ref42","doi-asserted-by":"crossref","first-page":"512","DOI":"10.5152\/tud.2017.45389","article-title":"Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre","volume":"43","author":"B Purkait","year":"2017","journal-title":"Turk J Urol"},{"issue":"03","key":"ref43","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/BF02082716","article-title":"Successful pregnancy after surgical repair of vesico-uterine fistula","volume":"18","author":"S Kott\u00e1sz","year":"1986","journal-title":"Int Urol Nephrol"},{"issue":"05","key":"ref44","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1590\/S1677-5538.IBJU.2014.0391","article-title":"Laparoscopic repair for vesicouterine fistulae","volume":"41","author":"R A Maioli","year":"2015","journal-title":"Int Braz J Urol"},{"issue":"05","key":"ref45","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1007\/s00192-007-0480-z","article-title":"Laparoscopic repair of vesicouterine fistula--a case report","volume":"19","author":"M Ramalingam","year":"2008","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"06","key":"ref46","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s00192-006-0215-6","article-title":"Laparoscopic intraperitoneal repair of high-up urinary bladder fistula: a review of 12 cases","volume":"18","author":"P Das Mahapatra","year":"2007","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"04","key":"ref47","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1055\/s-2004-822839","article-title":"[Vaginal repair of a vesico-uterine fistula type I (Jozwik) after caesarean section]","volume":"126","author":"K Jundt","year":"2004","journal-title":"Zentralbl Gynakol"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.eucr.2017.01.006","article-title":"Early robotic repair of vesicouterine fistula. A case report and literature review","volume":"11","author":"O J Alamoudi","year":"2017","journal-title":"Urol Case Rep"},{"issue":"02","key":"ref49","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.urology.2012.04.027","article-title":"Robot-assisted laparoscopic repair of rare post-cesarean section vesicocervical and vesicouterine fistula: a case series of a novel technique","volume":"80","author":"K Perveen","year":"2012","journal-title":"Urology"},{"issue":"06","key":"ref50","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1016\/S0022-5347(17)41333-4","article-title":"Treatment of vesicouterine fistula by fulguration","volume":"141","author":"L R Molina","year":"1989","journal-title":"J Urol"},{"issue":"04","key":"ref51","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1111\/j.1442-2042.2006.01325.x","article-title":"Successful management of vesicouterine fistula by luteinizing hormone-releasing hormone analog","volume":"13","author":"M Yokoyama","year":"2006","journal-title":"Int J Urol"},{"key":"ref52","first-page":"233","article-title":"F\u00edstula vesicouterina: s\u00edndrome de Youssef","volume":"12","author":"N F Oliveira","year":"1986","journal-title":"J Bras Urol"},{"key":"ref53","first-page":"251","article-title":"[Youssef's syndrome: report of three cases]","volume":"5","author":"N S Carvalho","year":"1983","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref54","first-page":"30","article-title":"S\u00edndrome de Youssef: f\u00edstula v\u00e9sico-uterina","volume":"21","author":"A G Agostinho","year":"1998","journal-title":"Arq Med ABC."},{"issue":"05","key":"ref55","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1016\/j.urology.2013.12.040","article-title":"Monti's principle in the treatment of congenital uterovesical fistula","volume":"83","author":"R I Lopes","year":"2014","journal-title":"Urology"},{"issue":"01","key":"ref56","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.ejogrb.2006.06.005","article-title":"Caesarean sections and maternal mortality in Sao Paulo","volume":"132","author":"S Kilsztajn","year":"2007","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"04","key":"ref57","doi-asserted-by":"crossref","first-page":"e0153396","DOI":"10.1371\/journal.pone.0153396","article-title":"Caesarean delivery and postpartum maternal mortality: a population-based case control study in Brazil","volume":"11","author":"A P Esteves-Pereira","year":"2016","journal-title":"PLoS One"},{"issue":"01","key":"ref58","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1590\/S0102-311X2009000100013","article-title":"Associa\u00e7\u00e3o entre via de parto e complica\u00e7\u00f5es maternas em hospital p\u00fablico da Grande S\u00e3o Paulo, Brasil","volume":"25","author":"L C Machado J\u00fanior","year":"2009","journal-title":"Cad Saude Publica"},{"key":"ref59","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1097\/00006250-200105000-00023","article-title":"First-birth cesarean and placental abruption or previa at second birth(1)","volume":"97","author":"M Lydon-Rochelle","year":"2001","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref60","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1056\/NEJM200107053450101","article-title":"Risk of uterine rupture during labor among women with a prior cesarean delivery","volume":"345","author":"M Lydon-Rochelle","year":"2001","journal-title":"N Engl J Med"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/vesicouterine-fistula-youssef-syndrome-case-report-and-literature-review\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1666998.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T19:00:04Z","timestamp":1721329204000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1666998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":60,"journal-issue":{"issue":"09","published-online":{"date-parts":[[2018,9,19]]},"published-print":{"date-parts":[[2018,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1666998","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}