Published: 2017-02-10

Youssef syndrome- manifesting as cyclical hematuria during non-pregnant state and as antepartum hemorrhage during pregnant state

Arun Ramakrishnarao Mahale, Pankaj Narayan Baravkar


A woman developed an utero-vesical fistula following her second cesarean section. Between pregnancies she manifested cyclical menouria without urinary incontinence. In her third pregnancy for first 3 months her cyclical menouria was relieved as a feature of pregnancy amenorrhea, but it recurred in fourth month of pregnancy as antepartum hemorrhage because of placental location in the fistula area.


Vesical fistula, Fistula menstrual, Antepartum haemorrhage, Youssef syndrome

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Youssef AF. Menouria following lower segment cesarean section: A syndrome. Am J Obstet Gynecol. 1957;73:759–67.

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