Djellali-Zemni S, Missaoui M N, Salem B, Nouira M, Bibi M, Zanina R, Khairi H
Centre de Maternité et Néonatologie, Sousse, Tunisie.
Rev Fr Gynecol Obstet. 1992 Jul-Sep;87(7-9):434-5.
Vesico-uterine fistulas (VUF) are an increasingly rare entity (5% of all urogenital fistulas). The authors report two cases of VUF following cesarean section. The literature is reviewed briefly, indicating that Youssef syndrome is the commonest presentation. This lesion is certainly benign but is a source of discomfort for sexually active women. Treatment is above all preventive. It is based per-partum on perfect management of all cases of difficult labour. Peroperatively, the technique used during each cesarean section must be carefully defined and followed. Treatment of a confirmed VUF is essentially surgical.
膀胱子宫瘘（VUF）是一种日益罕见的疾病（占所有泌尿生殖瘘的5%）。作者报告了两例剖宫产术后发生VUF的病例。对相关文献进行了简要回顾，表明尤塞夫综合征是最常见的表现形式。这种病变固然是良性的，但却是性活跃女性不适的来源。治疗首先是预防性的。它在分娩期基于对所有难产病例的完美管理。在手术过程中，每次剖宫产所采用的技术必须仔细确定并遵循。确诊的VUF的治疗基本上是手术治疗。
