scholarly journals Vesicouterine fistula – a rare delayed complication of cesarean section

2020 ◽  
Vol 38 (4) ◽  
pp. 209-212
Author(s):  
Sumaya Akter ◽  
Kohinoor Begum ◽  
Joysree Saha

A vesicouterine fistula is an abnormal pathway between the urinary bladder and the uterus. It is a rare urogynaecological fistula. In vesicouterine fistula, clinical presentations are cyclic haematuria (menouria), amenorrhoea, urinary continence which mimics Youssef’s syndrome. This case presents, a 37 year old multiparous woman with vesicouterine fistula which she developed 8 years after cesarean section. Diagnosis was confirmed by cystoscopy and fistula was repaired through trans abdominal surgery. She regained normal vaginal menses 4 months after surgery. J Bangladesh Coll Phys Surg 2020; 38(4): 209-212

1979 ◽  
Vol 189 (4) ◽  
pp. 290-291 ◽  
Author(s):  
P. GRAZIOTTI ◽  
A. LEMBO ◽  
W. ARTIBANI

Author(s):  
JORGE EDUARDO FARIA ROCHA COSTA ◽  
ITALO ACCETTA ◽  
FRANCISCO JOSÉ SANTOS MAIA ◽  
RENATO AUGUSTO MOREIRA DE SÁ

ABSTRACT Objective: to study the characteristics of women undergoing abdominal surgery with suspected abdominal wall endometriosis or abdominal wall tumor, and to assess the association with age, race and previous cesarean delivery. Method: retrospective and analytical study carried out from January 2000 to December 2019, at the General Surgery Service of Hospital Universitário Antônio Pedro (HUAP) at Universidade Federal Fluminense (UFF). Medical records of 100 patients with abdominal wall endometriosis and other types of abdominal wall tumors were analyzed. Age, color, previous history of cesarean section or abdominal surgery and histopathological data were verified. The patients were classified as young adults (aged between 18 and 28 years and 11 months) and adults. The SPSS program was used for data analysis, Fisher’s test with a significance level of 0.05. Results: abdominal wall endometriosis with histopathological confirmation was found in 22%, the mean age was 52.28 ± 18.66 which was lower when compared to other diagnoses. There was an association between previous cesarean section and abdominal wall endometriosis (p <0.005). Conclusion: the women with a diagnosis of abdominal wall endometriosis had undergone previous cesareans (the majority) and were in an active reproductive age. Although the brown skin women were the most frequent, there was no statistical difference.


2001 ◽  
Vol 280 (2) ◽  
pp. C254-C264 ◽  
Author(s):  
Joseph A. Hypolite ◽  
Michael E. DiSanto ◽  
Yongmu Zheng ◽  
Shaohua Chang ◽  
Alan J. Wein ◽  
...  

Urinary bladder filling and emptying requires coordinated control of bladder body and urethral smooth muscles. Bladder dome, midbladder, base, and urethra showed significant differences in the percentage of 20-kDa myosin light chain (LC20) phosphorylation (35.45 ± 4.6, 24.7 ± 2.2, 13.6± 2.1, and 12.8 ± 2.7%, respectively) in resting muscle. Agonist-mediated force was associated with a rise in LC20 phosphorylation, but the extent of phosphorylation at all levels of force was less for urethral than for bladder body smooth muscle. RT-PCR and quantitative competitive RT-PCR analyses of total RNA from bladder body and urethral smooth muscles revealed only a slight difference in myosin heavy chain mRNA copy number per total RNA, whereas mRNA copy numbers for NH2-terminal isoforms SM-B (inserted) and SM-A (noninserted) in these muscles showed a significant difference (2.28 × 108 vs. 1.68 × 108 for SM-B and 0.12 × 108 vs. 0.42 × 108 for SM-A, respectively), which was also evident at the protein level. The ratio of COOH-terminal isoforms SM2:SM1 in the urethra was moderately but significantly lower than that in other regions of the bladder body. A high degree of LC20phosphorylation and SM-B in the bladder body may help to facilitate fast cross-bridge cycling and force generation required for rapid emptying, whereas a lower level of LC20 phosphorylation and the presence of a higher amount of SM-A in urethral smooth muscle may help to maintain the high basal tone of urethra, required for urinary continence.


1988 ◽  
Vol 139 (1) ◽  
pp. 123-125 ◽  
Author(s):  
Z. Lenkovsky ◽  
D. Pode ◽  
A. Shapiro ◽  
M. Caine

2016 ◽  
Vol 4 (8) ◽  
pp. 721-724
Author(s):  
Toshiharu Sato ◽  
Naoki Sato ◽  
Kazue Takahashi ◽  
Masahiko Kito ◽  
Tae Sugawara ◽  
...  

1981 ◽  
Vol 125 (6) ◽  
pp. 884-884 ◽  
Author(s):  
Helen Marie Henriksen

2017 ◽  
Vol 4 ◽  
Author(s):  
Pascal Talla ◽  
Maria Ekotomati ◽  
Yves Brünisholz ◽  
Jean Bouquet de la Jolinière ◽  
Bernice Fagan ◽  
...  

Author(s):  
Prakash Kumar Nath ◽  
Mamata Samal ◽  
Chintamani Mohanta ◽  
Sanjaya Mahapatra

ABSTRACT Vesicouterine fistula (Youssef's syndrome), a rare complication of cesarean section is presented. A 35-year-old female had vesicouterine fistula with symptoms of apparent amenorrhea, cyclic hematuria and meconuria following cesarean section. The patient was treated by abdominal hysterectomy and the fistula tract was repaired. How to cite this article Nath PK, Samal M, Pradhan K, Mohanta C, Mahapatra S. Youssef's Syndrome. J South Asian Feder Menopause Soc 2014;2(2):113-114.


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