DefinePK

Abstract

Vesicouterine fistulae account for Ito 4% genitourinaiy fistulae1. They are primarily a complication of lower segment Caesarean section and were extremely rare till 19472 . The incidence has gone up since then, because of increasing rates of Caesarean sections2-5. Unlike other gcnitourinaiy fistulac, urinary incontinence is not an integral feature ofavesicouter­ine fistula1,2,4,6. When the defect is above the level of internal os, the woman is continent but the menstrual flow is diverted to the bladder causing haematuria. This phenomenon of cyclic haematuria, apparent amenorrhoea, in the presence of a patent cervix with urinazy continence is referrd to as Youseff’s syndrome7. Youseff coined the term \\\'Menouria\\\' for vesical menstruation in these cases. This article describes five women with Menouria presenting to the department of Obstetrics and Gynaecology, Jinnah Postgraduate Medical Centre, Karachi over the last seven years.