Youssef s syndrome: Should MRI be the first-line investigation?

摘要

A 35 year female presented to our department with UTIs, haematuria and urinary incontinence. Cystoscopy demonstrated a bleeding lesion on the posterior wall of the bladder. The possibility of a vesicouterine fistula (Youssef s syndrome) was therefore raised. Cystography failed to demonstrate the fistula but MRI did. Literature review suggests that the diagnostic pathway for this condition is often lengthy. Our practice now is that MRI is the first line of investigation when a vesicouterine fistula is suspected.