Tostain J
Département d'Urologie, Polyclinique de Beaulieu, Saint-Etienne.
Acta Urol Belg. 1992;60(3):35-41.
Youssef's syndrome is a vesico-uterine fistula through the uterine isthmus, with periodic hematuria, or menouria, and an absence of vaginal bleeding or urinary leaks. The sphincteric mechanism of the uterine isthmus could explain this symptoms, quite unusual for a urogenital fistula. Diagnosis can be achieved by cystography and hysterography. Surgical closure of the fistula is the usual treatment, but uterus can be preserved if patient wishes further pregnancy.
尤塞夫综合征是一种经子宫峡部的膀胱子宫瘘，伴有周期性血尿或经期血尿，且无阴道出血或尿液渗漏。子宫峡部的括约肌机制可以解释这种症状，这在泌尿生殖瘘中颇为罕见。通过膀胱造影和子宫造影可实现诊断。瘘管的手术闭合是常用治疗方法，但如果患者希望进一步妊娠，子宫可以保留。
