膀胱子宫瘘一例并文献复习.

Vesicouterine fistula is a very rare type of urogenital fistula. The main symptoms are varying degrees of urineincontinence (vaginal leakage), periodic hematuria and amenorrhea. Vesicouterine fistula can be divided into three types. Type Ⅰ, also known as Youssef′s syndrome, is the most common type of vesicouterine fistula. Surgical repair is the main treatment. This paper reports a case of vesicouterine fistula presenting with Youssef′s syndrome, which was successfully repaired through laparoscopic surgery. After 4 years of follow-up, there was no hematuria and the menstrual cycle remained regular. Ultrasound examination indicated that the incision of the lower uterine segment and the rupture of the posterior bladder wall healed well. [ABSTRACT FROM AUTHOR]