Menouria (Youssef syndrome) is an uncommon condition in which a vesicouterine fistula results in cyclic hematuria. Vesicouterine fistulas are the rarest of all urinary fistulas, accounting for just 4% of all such fistulas 3. It occurs most commonly after cesarean section.

  • cyclic hematuria
  • the possible absence of vaginal bleeding during menstruation

The most common cause of vesicouterine fistula is lower uterine segment Cesarean section (LUSCS). Other causes include:

  • contraceptive device 4
  • malignancy
  • inflammation
  • uterine rupture due to obstructed labor 5
  • radiation therapy
  • iatrogenic trauma, e.g. urinary catheterization 

A connection between the uterus and bladder may be evident on cystography (conventional or CT), or with hysterography.

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Article information

rID: 33763
System: Gynaecology
Synonyms or Alternate Spellings:
  • Youssef syndrome
  • Postcesarean menouria
  • Vesicouterine fistula

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Cases and figures

  • Case 1: from a vesico-uterine fistula
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